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Case Reports
. 2022 Nov;63(11):1124-1128.

Inadvertent placement of an esophagostomy tube into the mediastinum of a cat

Shannon Kelly  1 , Carsten Bandt  1
Affiliations
Case Reports

Inadvertent placement of an esophagostomy tube into the mediastinum of a cat

Shannon Kelly et al. Can Vet J. 2022 Nov.

Abstract
in English, French

An 8-year-old neutered male Siberian forest cat was presented for respiratory distress. Endoscopy, exploratory surgery of the neck, and sternotomy confirmed initial placement of the esophagostomy tube (e-tube) into the mediastinum. The patient recovered from surgery, developed laryngeal paralysis, and then arrested and died within 48 h after surgery. Key clinical message: To the authors' knowledge, there are no other case reports documenting inadvertent placement of an e-tube into the mediastinum of a cat. This case report highlights the complications that can be associated with incorrect placement of an e-tube.

Placement par inadvertance d’un tube d’oesophagostomie dans le médiastin d’un chat. Un chat des Forêts sibériennes mâle castré âgé de 8 ans a été présenté pour détresse respiratoire. L’endoscopie, la chirurgie exploratoire du cou et la sternotomie ont confirmé le placement initial du tube d’oesophagostomie (e-tube) dans le médiastin. Le patient s’est remis de la chirurgie, a développé une paralysie laryngée, puis a fait un arrêt cardiaque et est décédé dans les 48 heures suivant la chirurgie.Message clinique clé:À la connaissance des auteurs, il n’y a pas d’autres rapports de cas documentant le placement par inadvertance d’un e-tube dans le médiastin d’un chat. Ce rapport de cas met en évidence les complications qui peuvent être associées au placement incorrect d’un e-tube.(Traduit par Dr Serge Messier).

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Figures

Figure 1
Figure 1
Left lateral thoracic radiograph showing the endotracheal tube and e-tube.
Figure 2
Figure 2
Thoracic radiographs showing a mass effect dorsal to the trachea causing marked widening of the cranial mediastinum and a moderate volume of bilateral pleural effusion. a — right lateral view; b — left lateral view; c — ventrodorsal view.
Figure 3
Figure 3
Thoracic radiographs showing aspiration pneumonia characterized by a mild to moderate patchy interstitial pattern in the right caudal lung lobe. a — the right lateral view; b — left lateral view; c — ventrodorsal view.
See this image and copyright information in PMC

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