Fatal aortic oesophageal fistula following oesophageal foreign body removal in a dog.
An eight-month-old male Pomeranian was presented with hypovolaemic shock 7 days after successful oesophageal foreign body removal. On presentation the dog was anaemic and no coagulation abnormalities were detected. A fluid-filled oesophagus was visible on thoracic radiography and frank blood was aspirated from the oesophagus following oro-oesophageal intubation. Fluid resuscitation and blood transfusions were administered but attempts at stabilisation were unsuccessful and the dog died. At post-mortem examination, a 2-mm aortic oesophageal fistula was identified on the ventral aspect of the aorta at the level of heart base that communicated with the overlying oesophagus. Aortic oesophageal fistula has been reported in human medicine and occurs secondary to a number of conditions including oesophageal foreign bodies. These prove fatal without rapid stabilisation and surgery.
Veterinary Clinical Sciences, Royal Veterinary College, Hawkshead Lane, Hertfordshire AL9 7TA.
I
I
Keir
L
L
Woolford
C
C
Hirst
S
S
Adamantos
D000818:Animals; D001013:Aorta, Thoracic / Q000293:injuries*; D004285:Dogs; D004937:Esophageal Fistula / Q000175:diagnosis / Q000209:etiology / Q000662:veterinary*; D017809:Fatal Outcome; D005547:Foreign Bodies / Q000150:complications / Q000601:surgery / Q000662:veterinary*; D008297:Male; D011183:Postoperative Complications / Q000662:veterinary*