Centro Universitário Ritter dos Reis, Porto Alegre, Rio Grande do Sul, Brazil,
Faculdade Murialdo, Rua Marquês do Herval, 701, Caxias do Sul, Rio Grande do Sul, Brazil.
J Avian Med Surg. 2023 Mar;36(4):421-425. doi: 10.1647/21-00043.
An adult, female, captive ostrich () was referred to a veterinary teaching hospital for a 2-week history of lethargy and a mass effect in the proximal cervical region. Physical examination revealed a fistula in the middle cervical esophagus surrounded by devitalized and necrotic tissue; feed material was found leaking from the site. Cervical radiography identified an esophageal stricture with anterior dilation due to the accumulation of feed. After receiving supportive care for 48 hours, the patient's overall status improved, allowing partial esophagectomy and resection of the affected tissues with end-to-end anastomosis. Postoperative management included fasting for 24 hours, followed by the administration of a liquid hand-rearing formula prepared with commercially available ostrich feed and administered via a feeding tube for 15 days. Proper healing of the surgical site was confirmed by esophagoscopy using a flexible endoscope 17 days after surgery. The ostrich was discharged after 27 days, with no complications recorded within the 180 days of the follow-up period. Partial cervical esophagectomy with end-to-end anastomosis along with pre- and postoperative management provided a successful outcome for the treatment of a fistulated esophageal stricture in a captive ostrich, resulting in full recovery without surgical complications.
一只成年雌性圈养鸵鸟（）因近颈部区域出现 2 周嗜睡和肿块效应而被转诊至兽医教学医院。临床检查发现食管中段有瘘管，周围是失活和坏死组织；瘘管处有饲料漏出。颈椎 X 光片显示食管狭窄，由于饲料积聚导致前部扩张。在接受 48 小时的支持治疗后，患禽的整体状况有所改善，进行了部分食管切除术，并进行了受影响组织的端对端吻合术。术后管理包括禁食 24 小时，然后通过喂养管给予市售鸵鸟饲料配制的液体人工饲养配方，持续 15 天。术后 17 天，使用柔性内窥镜进行食管镜检查确认手术部位愈合良好。鸵鸟在术后 27 天出院，在 180 天的随访期内没有记录到任何并发症。对于圈养鸵鸟的瘘管性食管狭窄，进行部分颈段食管切除术和端对端吻合术，以及围手术期管理，为治疗提供了成功的结果，没有出现手术并发症，完全康复。
