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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.
Abstract:
A 6-month-old male domestic shorthair cat was presented for a 3-month history of dysphagia and upper respiratory signs. The cat was diagnosed with a generalized megaesophagus secondary to a large nasopharyngeal polyp that extended into the cervical esophagus. The polyp was removed by traction and a left ventral bulla osteotomy was performed to remove the polyp base. The cat's clinical signs resolved and follow-up radiographs 14 days after surgery revealed resolution of the megaesophagus. To the authors' knowledge, this is the first report of resolution of megaesophagus after removal of a nasopharyngeal polyp in a cat.
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