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Fatal hemothorax after removal of an esophageal foreign body (case report)
Foreign bodies in the esophagus of dogs are seen in small animal practice from time to time. Mostly they are bones or fragment of bones and are located at the apertura thoracis. Endoscopic removal is performed whenever possible, and the most animals survive this procedure. But not all, as this impressive case report demonstrates...

A 10.8-year-old, spayed female toy poodle presented with an esophageal foreign body. The foreign body was removed endoscopically, and a gastrostomy tube was placed to provide nutritional support during esophageal healing.

The gastrostomy tube was later removed by endoscopic retrieval of the bulb through the esophagus.

Immediately afterward, the dog developed hemothorax and eventually died.

It was determined that many small arterial branches were avulsed from the aorta. The involved sections of aorta histopathogically evidenced medial necrosis, which was believed to be related to a prior disruption of blood flow through the vasa vasorum.




Source: Leah A. Cohn, Melissa R. Stoll, Keith R. Branson, Alice D. Roudabush, Marie E. Kerl, Paige F. Langdon, Chad M. Johannes (2003): Fatal Hemothorax Following Management of an Esophageal Foreign Body. In: Journal of the American Animal Hospital Association 39:251-256 (2003)



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