title: Transient megaoesophagus and oesophagitis following diaphragmatic rupture repair in a cat.
abstract: A 6-month-old domestic shorthair female cat was presented with suspected diaphragmatic hernia (DH) that was later confirmed by thoracic radiography. The cat underwent exploratory celiotomy with a diaphragmatic rupture (DR) repair and recovered. Six days later, it was represented with vomiting and anorexia. Megaoesophagus (MO) and gastric dilatation were diagnosed by contrast radiography. A second celiotomy revealed no abnormalities and gastropexy was performed. Endoscopy demonstrated MO, oesophagitis and gastro-oesophageal reflux. MO persisted for several weeks and was an unexpected complication as no association between DR (or DH) and MO has never been described in the veterinary literature. The cat was treated medically with aggressive prokinetic and antacid therapy along with prolonged temporary oesophageal diversion (percutaneous endoscopic gastrostomy tube) with an excellent outcome.
authors.affiliation: Department of Small Animal Surgery, Hebrew University Teaching Hospital, Koret School of Veterinary Medicine, The Hebrew University of Jerusalem, Rehovot, Israel. rotemj@agri.huji.ac.il
authors.forename: Rotem
authors.initials: R
authors.lastname: Joseph
authors.forename: Sharon
authors.initials: S
authors.lastname: Kuzi
authors.forename: Eran
authors.initials: E
authors.lastname: Lavy
authors.forename: Itamar
authors.initials: I
authors.lastname: Aroch
mesh_terms: D000818:Animals; D002371:Cat Diseases / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D002415:Cats; D004931:Esophageal Achalasia / Q000000981:diagnostic imaging / Q000601:surgery / Q000662:veterinary*; D004941:Esophagitis / Q000000981:diagnostic imaging / Q000601:surgery / Q000662:veterinary*; D005260:Female; D005764:Gastroesophageal Reflux / Q000662:veterinary; D006549:Hernia, Diaphragmatic, Traumatic / Q000000981:diagnostic imaging / Q000601:surgery / Q000662:veterinary*; D011859:Radiography; D016896:Treatment Outcome