Cecocolic and cecocecal intussusception in horses: 30 cases (1976-1996)

To determine the prognosis in horses with cecocolic or cecocecal intussusception. Retrospective study. 30 horses with cecocolic intussusception or cecocecal intussusception. Information on history, physical examination findings, and laboratory values was summarized from the medical records. Laborato...

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Published inJournal of the American Veterinary Medical Association Vol. 214; no. 1; p. 80
Main Authors Martin, B.B. Jr. (University of Pennsylvania, Kennett Square, PA.), Freeman, D.E, Ross, M.W, Richardson, D.W, Johnston, J.K, Orsini, J.A
Format Journal Article
LanguageEnglish
Published United States 01.01.1999
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Abstract To determine the prognosis in horses with cecocolic or cecocecal intussusception. Retrospective study. 30 horses with cecocolic intussusception or cecocecal intussusception. Information on history, physical examination findings, and laboratory values was summarized from the medical records. Laboratory data included results of hematologic examination, serum biochemical analysis, and peritoneal fluid color, total nucleated cell count, and total protein concentration. A one-year follow-up via the telephone was used to determine long-term survival. Horses ranged from 7 months to 30 years old, but 63% were < or = 3 years. Standardbred horses were significantly overrepresented. Twenty-six horses had acute-to-subacute disease, and 4 had a chronic wasting disease. Cecal intussusceptions were suspected on the basis of finding a mass on abdominal palpation per rectum (14 of 24 horses) and positive ultrasonographic findings (2 of 3 horses). Thirteen horses with colic for > 1 day had scant, soft feces. Six horses died or were euthanatized without undergoing surgery, and 24 were treated surgically. Six of the latter horses were euthanatized during surgery because of peritonitis, rupture of the cecum, and irreducible intussusception. All 4 horses with a chronic disease were euthanatized because of irreversible changes in the cecum. Of the 18 horses allowed to recover from surgery, 15 survived long-term. Surgical treatments were reduction, with or without partial typhlectomy (6 horses), partial typhlectomy through a colotomy and reduction (6), reduction through a colotomy and partial typhlectomy (3), partial typhlectomy for a cecocecal intussusception (1) and an ileocolostomy (2). Cecal intussusception has a good prognosis with surgical correction without delay. Reduction through colotomy has a high success rate. Bypass by ileocolostomy should be used as a last resort.
AbstractList To determine the prognosis in horses with cecocolic or cecocecal intussusception. Retrospective study. 30 horses with cecocolic intussusception or cecocecal intussusception. Information on history, physical examination findings, and laboratory values was summarized from the medical records. Laboratory data included results of hematologic examination, serum biochemical analysis, and peritoneal fluid color, total nucleated cell count, and total protein concentration. A one-year follow-up via the telephone was used to determine long-term survival. Horses ranged from 7 months to 30 years old, but 63% were < or = 3 years. Standardbred horses were significantly overrepresented. Twenty-six horses had acute-to-subacute disease, and 4 had a chronic wasting disease. Cecal intussusceptions were suspected on the basis of finding a mass on abdominal palpation per rectum (14 of 24 horses) and positive ultrasonographic findings (2 of 3 horses). Thirteen horses with colic for > 1 day had scant, soft feces. Six horses died or were euthanatized without undergoing surgery, and 24 were treated surgically. Six of the latter horses were euthanatized during surgery because of peritonitis, rupture of the cecum, and irreducible intussusception. All 4 horses with a chronic disease were euthanatized because of irreversible changes in the cecum. Of the 18 horses allowed to recover from surgery, 15 survived long-term. Surgical treatments were reduction, with or without partial typhlectomy (6 horses), partial typhlectomy through a colotomy and reduction (6), reduction through a colotomy and partial typhlectomy (3), partial typhlectomy for a cecocecal intussusception (1) and an ileocolostomy (2). Cecal intussusception has a good prognosis with surgical correction without delay. Reduction through colotomy has a high success rate. Bypass by ileocolostomy should be used as a last resort.
Author Johnston, J.K
Freeman, D.E
Orsini, J.A
Martin, B.B. Jr. (University of Pennsylvania, Kennett Square, PA.)
Ross, M.W
Richardson, D.W
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Snippet To determine the prognosis in horses with cecocolic or cecocecal intussusception. Retrospective study. 30 horses with cecocolic intussusception or cecocecal...
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StartPage 80
SubjectTerms Animals
CABALLOS
CASE STUDIES
Cecal Diseases - diagnosis
Cecal Diseases - surgery
Cecal Diseases - veterinary
CECUM
Cecum - surgery
CHEVAL
COLON
Colon - surgery
Colostomy - veterinary
DIAGNOSIS
DIAGNOSTIC
DIAGNOSTICO
ENFERMEDADES INTESTINALES
ESTUDIOS DE CASOS PRACTICOS
ETUDE DE CAS
Euthanasia - veterinary
Female
Follow-Up Studies
Horse Diseases - diagnosis
Horse Diseases - surgery
HORSES
Ileostomy - veterinary
INTESTIN
INTESTINAL DISEASES
INTESTINES
INTESTINOS
Intussusception - diagnosis
Intussusception - surgery
Intussusception - veterinary
MALADIE INTESTINALE
Male
OPERACIONES QUIRURGICAS
OPERATION CHIRURGICALE
PATHOGENESE
PATHOGENESIS
PATOGENESIS
PROGNOSIS
Retrospective Studies
SUPERVIVENCIA
SURGICAL OPERATIONS
SURVIE
SURVIVAL
Title Cecocolic and cecocecal intussusception in horses: 30 cases (1976-1996)
URI https://www.ncbi.nlm.nih.gov/pubmed/9887945
Volume 214
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