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An 8-year-old Italian saddle-horse gelding with a history of left guttural pouch empyema was referred to the clinic. Endoscopic examination showed a stenosis of the left pharingeal ostium that was treated with an endoscopic assisted electro-cauterization. Endoscopic follow-ups were performed before discharge and at six months after stenosis removal. No recurrence was observed, confirming the patency of the pharyngeal orifice.doi:10.17221/1589-vetmed fatcat:x4ezm35eqrfp3oyujja3y7zjja