Volume 3 | Issue 3 Article 18

1941 Emphysema of the Guttural Pouch George H. Gitz Iowa State College

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Recommended Citation Gitz, George H. (1941) "Emphysema of the Guttural Pouch," Iowa State University Veterinarian: Vol. 3 : Iss. 3 , Article 18. Available at: https://lib.dr.iastate.edu/iowastate_veterinarian/vol3/iss3/18

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ewe to get the results of the case. The owner stated that the ewe had lived I8l Emphysema of the Guttural Pouch. about a week after being presented at LJ On Feb. 4, 1941, a two-year-old the clinic. He noticed that she was at­ chestnut stallion of the American Sad­ tempting parturition and he assisted her dle breed was presented to the clinic. in delivering a dead lamb. The next Last fall, the animal had suffered an at­ morning the ewe was dead. The owner tack of equine influenza and had evidently opened the abdomen and found another completely recovered from the attack. At lamb in the uterus which appeared to the time the stallion was brought here, it have been dead for a long time. The had an enlargement of the throat region, abdomen was also filled with a great the left side being very much enlarged, quantity of fluid which, he said, resem­ and the right side only slightly so. The bled urine. The owner believed that if enlargement was very soft, and upon pal­ help had been accorded the ewe a little pation, was found to be caused by air in sooner, at least one lamb would have the guttural pouch. The history which survived. a::companied the case was that the animal This case was very unique in the fact had been operated upon several times that rupture of the prepubic tendon is previously, but without success. The care­ rare in the ovine. It also appears strange taker stated that the swelling would ap­ that degeneration would take place in an pear in one or two days following the animal so young. It is very problematical as to whether or not the strain of jump­ operation and would remain distended ing over the ten inch sill aggravated the until operated on again. condition in any way. Observations were made each day from -B. T. Huso. '42 the 4th until the 10th of February, and

Sprirzg-I94I I37 the swelling neither increased nor de­ from the table, and returned to its stall. creased. The next day the copper sulfate packs It was decided that the animal would were removed. Potassium permanganate be operated on the 11th of February. An (1-3000) was used to irrigate the wound. ounce and one-half of chloral hydrate in Boric acid and urea were applied topic­ 2 percent solution was given as a basal ally as a dusting powder. Petrolatum was narcotic by way of a stomach tube. The used around the wound to facilitate re­ horse was placed on the operating table, moval of the exudate. This was the routine the emphysematous area shaved, and tinc­ treatment. The horse's pulse, respiration ture of iodine was applied. The area of and temperature deviated very little from swelling extended from the base of the normal at any time. In sixteen days the ear to the throat region. The skin and wound was almost completely closed, and underlying tissues in the area of intended very little exudate came from within. incision were locally anesthetized with 2 At different times during the adminis­ percent procaine. A skin incision was tration of potassium permanganate solu­ made so that the parotid gland and pos­ tion by means of a bulb syringe, the solu­ terior auricular vein were exposed. The tion could be seen trickling out of the guttural pouch protruded because it was left nostril in small amounts. This showed distended with air. The vein was ligated that the opening into the pharynx was not with No. 18 black silk suture. The sur­ completely closed. geon then took a 14 gauge needle and in­ All treatment was stopped on the 13th serted it into the guttural pouch. The of March. He was apparently healed, as swelling immediately disappeared as the there was no evidence of an enlargement air rushed out of the pouch. The opening other than that caused by scar tissue into the pouch was made larger in attempt where the wound healed. to locate the opening into the pharynx. The surgeon was to hear from the care­ Not being able to find the opening, the taker should the condition recur. To this surgeon placed a mouth speculum on the date he has had no report. animal and located the opening by passing -George H. Gitz, '42 a Gunther's catheter through the left nos­ tril into the pharyngeal orifice of the Ruptured Spleen. On the morn­ eustachian tube. The mucous membrane I9l ~ ing of Dec. 23, 1940, the author waF around this opening was removed by summoned to see a four year old Hol­ cutting and tearing on the lateral side of stein cow. The owner said she had be­ the wall of the pharynx. This was done in come ill the previous day. an attempt to set up a proliferation of con­ The history was that she had gone off nective tissue which would completely feed the night before, her milk flow had occlude the opening of the eustachian decreased considerably, and she was list­ tube into the pharynx, and thus stop the less and weak. The temperature was emphysema. Two sutures of No.4 catgut 107.4 0, pulse 92, respirations were in­ were then used to close the opening of the creased, labored, and abdominal in type. eustachian tube into the guttural pouch. An exudate was noted at the nostrils, the Eight gauze packs, saturated with 10 per­ cow was coughing, and had a slight di­ cent copper sulfate solution, were placed arrhea. On auscultation of the lungs, moist in the guttural pouch to destroy the mu­ rales were heard. A diagnosis of pneu­ cous membrane favoring adhesions and monia was made. The cow was given 125 occluding the entire guttural pouch. Ten cc. of N eoprontisil. interrupted sutures were then made with Another cow with similar symptoms No.4 catgut, leaving an opening so the had suddenly died that night and the packs could be withdrawn in 24 hours. cadaver was sent to the rendering plant. The skin incision was sutured with No. 18 It was then decided to go to the rendering black silk suture, the animal removed works and perform an autopsy on the

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