esophageal dilation

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esophageal dilation

this is a 14 wk old chihuahua the owner took in from a breeder. she noticed him regurgitating food and mucous.he is 2.8 lbs .his body condition is lean but not thin. lungs wnl. heart wnl. we were suspcious and took plain films followed by barium. we think this is less likely a vascular anomaly more likely”other”. we need some insight on what we see and what best next step with imaging.thanks

this is a 14 wk old chihuahua the owner took in from a breeder. she noticed him regurgitating food and mucous.he is 2.8 lbs .his body condition is lean but not thin. lungs wnl. heart wnl. we were suspcious and took plain films followed by barium. we think this is less likely a vascular anomaly more likely”other”. we need some insight on what we see and what best next step with imaging.thanks

Comments

rlobetti

Looks like congenital

Looks like congenital mega-esophagus. Not a vascular anomaly as the whole esophagus is affected. Can consider fluroscopy to see if there is any motility but will not change the diagnosis or management

EL

AnToo young for a GES fb but

AnToo young for a GES fb but maybe a stricture? Ill see if Nele can pop in after her lectures in Copenhagen this weekend.

sherilin

Thanks I was considering

Thanks I was considering fluroscopy but not worth the investment then. Would endoscopy be useful to rule out stricture of some sort although again would there be a treatment option?

N_ondreka

No PRAA without a stricture

No PRAA without a stricture and a pouch. And there are none. Other vascular anomalies such as double arches and aberrant subclavia would also present a stenosis. Most likely congenital megaesophagus & dysmotility. fluoro/endoscopy very likely won’t change anything

sherilin

Thanks! Bummer!!

Thanks! Bummer!!

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