Megaesophagus in a 6-month-old cat secondary to a nasopharyngeal polyp

Julie K Byron1, Steven R Shadwick, Avery R Bennett

  • 1Department of Veterinary Clinical Sciences, College of Veterinary Medicine, University of Illinois, Urbana, Illinois, United States. jbyron@illinois.edu

Insights

A nasopharyngeal polyp caused megaesophagus in a cat. Surgical removal of the polyp resolved the condition, marking a first-time reported outcome for feline megaesophagus.

Area of Science:

  • Veterinary Medicine
  • Feline Surgery
  • Gastroenterology

Background:

  • Megaesophagus in cats can stem from various underlying causes.
  • Nasopharyngeal polyps are relatively common in felines, often causing respiratory or neurological signs.

Observation:

  • A 6-month-old cat presented with a 3-month history of dysphagia and upper respiratory issues.
  • Diagnostic imaging revealed a large nasopharyngeal polyp extending into the cervical esophagus, causing generalized megaesophagus.

Findings:

  • Surgical removal of the nasopharyngeal polyp was achieved via traction and left ventral bulla osteotomy.
  • Post-operative radiographs at 14 days confirmed the resolution of megaesophagus.
  • The cat's clinical signs, including dysphagia, completely resolved after polyp removal.

Implications:

  • This case highlights nasopharyngeal polyps as a treatable cause of secondary megaesophagus in cats.
  • Successful surgical intervention can lead to complete resolution of megaesophagus and associated clinical signs.
  • This report is the first to document megaesophagus resolution following nasopharyngeal polyp removal in a feline patient.