Surgical treatment of cervical esophageal choke was successfully carried out through cervical esophagatomy or surgical drainage and removal of deeply situated foreign objects causing periesophageal
cellulitis and all cows recovered without any post-operative complications.
This case may raise the readers' alertness about the importance of periesophageal
disorders that appear in patients who have history of surgical interventions.
31) Although regional lymph nodes extend from periesophageal
cervical nodes to celiac nodes, the current American Joint Committee on Cancer staging system does not take into consideration the location of the nodes.
Moreover, the longitudinal layer is absent from much of the anterior and posterior stomach surfaces, and the circular layer is poorly developed in the periesophageal
CT scan may show esophageal wall edema and thickening, extra esophageal air, periesophageal
fluid with or without gas bubbles, mediastinal widening, and air and fluid in the pleural spaces, retroperitoneum or lesser sac.
7,11,19,20) Other complications in dogs are misplacement of the tube in the periesophageal
adventitia and kinking of the tube.
In the index case, surgical management was preferred as it was difficult to remove the needle by endovascular methods and because examination of perivascular and periesophageal
soft tissue was deemed necessary.
Lesions comprised mild to severe acute necrotizing rhinitis affecting olfactory and respiratory epithelium, focal necrotizing bronchoalveolitis, and marked lymphadenitis (most notably involving the submandibular and retropharyngeal lymph nodes, caudal cervical lymph nodes, and associated peritracheal and periesophageal
An oblong hypoechoic malignant appearing periesophageal
lymph node with smooth margins was identified.
However, computed tomography (CT) of the chest revealed the presence of periesophageal
air in the neck and mediastinum.
Endoscopic ultrasonography is useful for the evaluation of the depth of primary tumor penetration within the wall and invasion of periesophageal
A final concern is that botulinum toxin A may cause some periesophageal
inflammation; patients later undergoing esophageal surgery may have an increased risk of perforation and longer hospital stays.