Nonsurgical resolution of caudal mediastinal paraesophageal abscess in a
cat |
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Authors: | Joohyun JUNG Mincheol CHOI |
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Institution: | 1)Ilsan Animal Medical Center, Daehwa-dong 2030, Ilsanseo-gu, Goyang-si, Gyeonggi-do, 411-803, South Korea;2)Veterinary Radiology Department, College of Veterinary Medicine and Research Institute for Veterinary Science, Seoul National University, Seoul, 151-742, South Korea |
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Abstract: | A one-year-old, castrated male domestic short hair cat was admitted with a history of
anorexia, regurgitation and pyrexia for two days. Fever and leukocytosis were identified.
There were a large soft tissue density oval mass in the caudal mediastinum on thoracic
radiographs, a fluid-filled oval mass in the caudal mediastinum on ultrasonography, and
left-sided and ventrally displaced and compressed esophagus on esophagram. On esophageal
endoscopy, there were no esophageal abnormalities. CT findings with a fluid filled mass
with rim enhancement indicated a caudal mediastinal paraesophageal abscess. The patient
was treated with oral antibiotics, because the owner declined percutaneous drainage and
surgery. The patient was admitted on emergency with severe respiratory distress; and
ruptured abscess and deteriorated pleuropneumonia were suspected. With intensive
hospitalization care and additional antibiotic therapy, the patient had full recovery. |
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Keywords: | caudal mediastinal paraesophageal abscess CT feline |
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