Page 680 - The Veterinary Care of the Horse
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Figure 15.12 A 20-year-old Thoroughbred with guttural pouch empyema; the pus-filled guttural pouch is visibly distended
The condition is diagnosed on the clinical signs and confirmed by radiography and
endoscopy. Pus can often be seen draining from the guttural pouch opening(s) into the
pharynx when the horse is examined with an endoscope. A small endoscope can be inserted
into the guttural pouch allowing the pus or chondroids to be seen. When radiographs are
taken, a fluid line or pebble-like chondroids may be visible. Fluid can be aspirated from the
