Oesophageal foreign bodies in cats: Clinical and anatomic findings.

Naglaa A Abd Elkader,Daghash S M,Ibrahim A Emam,Noha Y Salem,Haithem A Farghali,Simon Clegg

doi:10.1371/journal.pone.0233983

Abstract

BackgroundAnatomical feline models can aid in understanding the relationships between clinical findings and anatomical features and the course of foreign bodies passing through the oesophagus. This study has two goals 1) to assess feline oesophageal foreign bodies in feline patients using physical, radiologic and endoscopic examination and, how their location influences treatment plans and complications. 2) How the anatomical sharp angle of the oesophagus contribute to foreign body lodgement. Thirty-five cats were enrolled in this study; 30 of them were clinically ill, and five cats were used for anatomical study.ResultsCats with clinical signs underwent complete clinical and radiologic examination. Endoscopy was performed in only five cases. The site with the highest occurrence of foreign body lodgement was the oesophageal entrance, caudal to the pharynx (63.3%), followed by the thoracic inlet (26.7%) and the mid-cervical region of the oesophagus (10%). Two types of foreign bodies were identified: sewing needles (25/30) and bone (5/30). Radiography was able to identify the location and nature of the foreign body in all 30 affected cats. Therapeutic regimens were applied according to the nature and location of the foreign body and any associated complications. Removal of the foreign body was achieved using Rochester pean artery forceps in 17/30 cases, using full surgical intervention in 8/30 cases, and during endoscopy in 5/30 cases.ConclusionThe results suggest that the location of the foreign body is strongly related to combination of consumed foreign body type and anatomic features of the cat oesophagus. The feline oesophagus has a variety of sharp angles that facilitate the entrapment of rigid linear and angular foreign bodies. Radiographic imaging remains the most frequently used diagnostic modality for determining the lodgement site and nature of radiopaque foreign bodies. Over all complication rate was low (6/30).

Highlights

In domestic animals, the oesophagus is described as a tube that connects the pharynx to the stomach [1, 2].Cats like to play with toys and small items, which makes them susceptible to the lodging of foreign bodies in the oral cavity or oesophagus
The feline oesophagus has a variety of sharp angles that facilitate the entrapment of rigid linear and angular foreign bodies
An additional five apparently healthy cats were used for anatomical study

Summary

Introduction

Cats like to play with toys and small items, which makes them susceptible to the lodging of foreign bodies in the oral cavity or oesophagus. Oesophageal foreign bodies are not common but are problematic. If the foreign body is not addressed via medical intervention, serious consequences may ensue [5] as pleural inflammation, oesophagitis, aspiration pneumonia and mortality are among the possible complications [6]. Anatomical feline models can aid in understanding the relationships between clinical findings and anatomical features and the course of foreign bodies passing through the oesophagus. This study has two goals 1) to assess feline oesophageal foreign bodies in feline patients using physical, radiologic and endoscopic examination and, how their location influences treatment plans and complications. 2) How the anatomical sharp angle of the oesophagus contribute to foreign body lodgement. Thirty-five cats were enrolled in this study; 30 of them were clinically ill, and five cats were used for anatomical study

Methods

Results

Discussion

Conclusion