EQUINE VETERINARY EDUCATION / AE / NOVEMBER 2020


605


TABLE 1: Presenting signs, clinical findings, treatment, and outcomes Case no. Age years Breed


1 2 13 22 Cob Cob


Sex F


Clinical features at presentation


Diarrhoea, lethargy, inappetence of 36 h duration.


G Acute colic of 24 h duration. Depression.


3 7 ISH


G Severe acute colic of several hours duration.


Case progression (medical vs. surgical treatment)


Medical therapy – unresponsive. Developed colic after 18 h.


Pain recurred after analgesics.


Serosanguinous peritoneal fluid.Exploratory celiotomy – necrosis of pelvic flexure.


4 23 Cob F


Acute onset of severe diarrhoea. Depression and inappetence.


5 12 Cob


G Severe acute colic of 12 h duration.


6 10 Tb


G Acute colic unresponsive to analgesics.


Exploratory celiotomy – strangulation of mid jejunum by pedunculated lipoma. No intestinal resection. Developed post-operative reflux. Repeat celiotomy after 48 h – multifocal areas of jejunal necrosis. 1.5 m of jejunum resected. Medical therapy.


Turbid peritoneal fluid – peritonitis diagnosed.Exploratory celiotomy – focal area of necrosis of left ventral colon.


Exploratory celiotomy – entrapment of jejunum in epiploic foramen. Jejunal resection and end-to-end jejunojejunostomy. Developed post-operative reflux. Repeat celiotomy after 5 days – multifocal areas of jejunal necrosis.


7 31 Arab F


Acute colic unresponsive to analgesics.


Exploratory celiotomy – strangulation of distal jejunum and ileum by pedunculated lipoma. Intestinal resection and side-to- side jejunocaecostomy. Developed post-operative reflux and colic. Repeat celiotomy after 4 days – necrosis of ileal stump and distant 25 cm segment of mid jejunum.


8 5 ISH F


Acute colic unresponsive to analgesics.


Haemoabdomen. 9 29 Cob F


Acute colic and mild diarrhoea.


10 27 Tb F


Mild colic, depression, and inappetence of 2 days duration followed by severe colic.


11 2


Trotter M Acute diarrhoea, depression, inappetence.


12 8 Tb F


Acute colic unresponsive to analgesics.


Exploratory celiotomy – jejunal ischaemia with thrombosis of mesenteric vessels. Resection of ischaemic jejunum and end-to- end jejunojejunostomy.


Medical therapy. Developed peritonitis. Developed neurological signs and hyperammonaemia after 3 days.


Peritonitis.Exploratory celiotomy – rupture of 10 cm segment of necrotic distal jejunum.


Medical therapy for colitis.


Outcome Euthanised.


Euthanised at surgery.


Deteriorated after second surgery – euthanised.


Died after 48 hours.


Euthanised at surgery.


Euthanised at second surgery.


Euthanised at surgery.


Developed post- operative colic. Euthanised.


Euthanised.


Euthanised at surgery.


Clinical


deterioration – euthanised after 24 h.


Exploratory celiotomy – acute caecal dysfunction and focal necrosis of caecal apex. Caecal apex resected.


Unremarkable recovery. Discharged home.


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