A 4-year-old, 6-month pregnant, Angus cow was presented to our clinic with a history of acute onset of severe bloat, respiratory distress, and inability to swallow. The owner had tried unsuccessfully to pass a stomach tube and reported that the tube was being obstructed just beyond the throat. Clinical examination of the cow revealed that the temperature was normal, the heart rate was 96 beats/min, and the respiratory rate was 60 breaths/min. The cow had severe abdominal distention and coughed at regular intervals. Copious amounts of saliva were expelled during these coughing episodes.