ENDOSCOPIC AND SURGICAL INTERVENTION OF COMPLETE ESOPHAGEAL STRICTURE IN A ONE-MONTH-OLD THOROUGHBRED FOAL WITH Rhodococcus equi PNEUMONIA

Authors

  • Jungho Yoon Equine Clinic, Jeju Stud Farm, Korea Racing Authority, Namjo-ro 1660, Jeju-si, 63346, Jeju, College of Veterinary Medicine, Konkuk University, Neungdong-ro 120, Gwangjin-gu, 05029 Seoul, Korea https://orcid.org/0000-0003-3713-3619
  • Ahram Kim Equine Clinic, Jeju Stud Farm, Korea Racing Authority, Namjo-ro 1660, Jeju-si, 63346, Jeju, Korea
  • Jeonghun Lee Equine Clinic, Jeju Stud Farm, Korea Racing Authority, Namjo-ro 1660, Jeju-si, 63346, Jeju, Korea
  • In-Soo Choi College of Veterinary Medicine, Konkuk University, Neungdong-ro 120, Gwangjin-gu, 05029 Seoul, Korea
  • Taemook Park * Equine Clinic, Jeju Stud Farm, Korea Racing Authority, Namjo-ro 1660, Jeju-si, 63346, Jeju, Korea, dr.taemook@gmail.com

DOI:

https://doi.org/10.26873/SVR-1832-2024

Keywords:

balloon dilation, foal, esophageal stricture, esophagostomy, pneumonia

Abstract

This case report describes a surgical and endoscopic approach for treating a complete esophageal stricture in a one-month-old Thoroughbred foal with Rhodococcus equi pneumonia. Clinical symptoms included coughing, nasal discharge, regurgitation, and lethargy. Endoscopic and ultrasonographic examinations revealed a complete esophageal obstruction caused by soft tissue stricture surrounding the esophageal lumen. The tube esophagostomy, combined anterograde retrograde esophageal assessment, and endoscopic balloon dilation were sequentially applied for the stricture lesion, along with the critical care for the secondary complications. After treatment, the foal was allowed to eat ground feed, chopped hay, and milk, and showed improved vitality. The foal was discharged on post-admission day 35.

Endoskopska in kirurška obravnava popolne strikture požiralnika pri enomesečnem čistokrvnem žrebetu s pljučnico, povzročeno z Rhodococcus equi

Izvleček: V poročilu o primeru je opisana kirurška in endoskopska obravnava popolne strikture požiralnika pri enomesečnem čistokrvnem žrebetu s pljučnico, povzročeno z Rhodococcus equi (Rhodococcus equi pneumonia). Klinični simptomi so bili kašelj, izcedek iz nosu, regurgitacija in letargija. Endoskopska in ultrazvočna preiskava je pokazala popolno obstrukcijo požiralnika, ki jo je povzročila striktura mehkih tkiv okoli lumna požiralnika. Za zdravljenje strikture smo zaporedno izvedli cevno ezofagostomo, kombinirano anterogradno retrogradno oceno požiralnika in endoskopsko balonsko dilatacijo skupaj s kritično oskrbo sekundarnih zapletov. Po zdravljenju je žrebe lahko jedlo mleto krmo, rezano seno in mleko, njegova vitalnost pa se je izboljšala. Žrebe je bilo odpuščeno 35. dan po sprejemu.

Ključne besede: balonska dilatacija; žrebe; ezofagealna striktura; ezofagostoma; pljučnica

References

1. Auer JA, eds. Equine Surgery. 5th ed. St. Louis: Elsevier, 2018.

2. Southwood LL. Complications of esophageal surgery. In: Rubio-Martinez LM, eds. Complications in equine surgery. Hoboken: 2021: 254–64.

3. Chiavaccini L, Hassel D. Clinical features and prognostic variables in 109 horses with esophageal obstruction (1992–2009). J Vet Intern Med 2010; 24(5): 1147–52. doi: 10.1111/j.1939-1676.2010.0573.x

4. Waguespack RW, Bolt DM, Hubert JD. Esophageal strictures and diverticula. Compend Equine Contin Educ Vet 2007; 4: 194–207.

5. Nijdam P, Elmas C, Fugazzola M. Treatment of an esophageal stricture in a 1-month-old Miniature Shetland colt. Case Rep Vet Med 2017; 17(1): 3069419. doi: 10.1155/2017/3069419

6. Freeman DE. Surgery for obstruction of the equine oesophagus and trachea. Equine Vet Edu 2005; 17(3): 135–41.

7. Prutton J, Marks SL, Aleman M. Endoscopic balloon dilation of esophageal strictures in 9 horses. J Vet Intern Med 2015; 29(4): 1105–11. doi: 10.1111/jvim.13572

8. Bordin AI, Huber L, Sanz MG, Cohen ND. Rhodococcus equi foal pneumonia: update on epidemiology, immunity, treatment and prevention. Equine Vet J 2022; 54(3): 481–94. doi: 10.1111/evj.13567

9. Giguère S, Cohen MD, Chaffin MK, et al. Rhodococcus equi: clinical manifestations, virulence, and immunity. J Vet Intern Med 2011; 25(6): 1221–30. doi: 10.1111/j.1939-1676.2011.00804.x

10. Rakowska A, Marciniak-Karcz A, Bereznowski A, Cywinska A, Żychska M, Witkowski L. Less typical courses of Rhodococcus equi infections in foals. Vet Sci 2022; 9(11): 605. doi: 10.3390/vetsci9110605

11. Rakowska A, Cywinska A, Witkowski L. Current trends in understanding and managing equine rhodococcosis. Animals (Basel) 2020; 10(10): 1910. doi: 10.3390/ani10101910

12. Giguère S, Cohen ND, Chaffin MK, et al. Diagnosis, treatment, control, and prevention of infections caused by Rhodococcus equi in foals. J Vet Inter Med 2011; 25(6): 1209–20. doi: 10.1111/j.1939-1676.2011.00835.x

13. Chaffin MK, Cohen ND, Martens RJ. Evaluation of equine breeding farm management and preventative health practices as risk factors for development of Rhodococcus equi pneumonia in foals. J Am Vet Med Assoc 2003; 222(4): 476–85. doi: 10.2460/javma.2003.222.476

14. Hernández JM, Arias SP, Franz CAC, Mejía MV. Dilation of a proximal esophageal stricture by endoscopically and radiologically guided Balloon in a falabella foal. Rev Med Vet 2016; 31: 85–95.

15. Ferguson D. Evaluation and management of benign esophageal Strictures. Dis Esophagus 2005; 18(6): 359–64. doi: 10.1111/j.1442-2050.2005.00516.x

16. Egan JV, Baron TH, Adler DG, et al. Esophageal Dilation. Gastrointest Endosc 2006; 63(6): 755–60. doi: 10.1016/j.gie.2006.02.031

17. Chidlow HB, Robbins EG, Slovis NM. Balloon dilation to treat oesophageal strictures in five foals. Equine Vet Edu 2017; 29(11): 609–16. doi: 10.1111/eve.12538

18. Fowlkes J, Zald PB, Andersen P. Management of complete esophageal stricture after treatment of head and neck cancer using combined anterograde retrograde esophageal dilation. Head Neck 2012; 34(6): 821–5. doi: 10.1002/hed.21826

19. Bueno R, Swanson SJ, Jaklitsch MT, Lukanich JM, Mentzer SJ, Sugarbaker DJ. Combined antegrade and retrograde dilation: a new endoscopic technique in the management of complex esophageal obstruction. Gastrointest Endosc 2001; 54(3): 368–72. doi: 10.1067/mge.2001.117517

20. Craig DR, Shivy DR, Pankowski RL, Erb HN. Esophageal disorders in 61 horses: results of nonsurgical and surgical management. Vet Surg 1989; 18(6): 432–8. doi: 10.1111/j.1532-950x.1990.tb01120.x

21. Song KO, Yang HS, Son WG, Kimm JH. Pathologic characteristics for the Rhodococcus equi infection in foals in Jeju. Korean J Vet Res 2019; 59(3): 141–9. doi: 10.14405/kjvr.2019.59.3.141

22. Sami SS, Haboubi HN, Ang Y, et al. UK guidelines on oesophageal dilatation in clinical practice. Gut 2018; 67(6): 1000–23. doi: 10.1136/gutjnl-2017-315414

23. Tillotson K, Traub-Dargatz JL, Twedt D. Balloon dilation of an oesophageal stricture in a one-month-old Appaloosa colt. Equine Vet Edu 2003; 15(2): 67–71. doi: 10.1111/j.2042-3292.2003.tb00218.x

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Published

2024-12-31

How to Cite

Yoon, J., Kim, A., Lee, J., Choi, I.-S., & Park, T. (2024). ENDOSCOPIC AND SURGICAL INTERVENTION OF COMPLETE ESOPHAGEAL STRICTURE IN A ONE-MONTH-OLD THOROUGHBRED FOAL WITH Rhodococcus equi PNEUMONIA. Slovenian Veterinary Research, 61(4), 299–305. https://doi.org/10.26873/SVR-1832-2024

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Section

Case Report