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Topic:Abdominal
Research in the abdominal health and conditions category examines digestive physiology, gastrointestinal disorders, and treatment protocols in horses. This page compiles peer-reviewed studies and journal articles on the pathophysiology of common digestive issues, diagnostic techniques for conditions like colic and gastric ulcers, and evaluations of various treatment strategies.
Serial Postoperative Blood and Peritoneal Fluid Analysis and Ultrasonographic Assessment in Client-Owned Horses Undergoing Ventral Midline Exploratory Celiotomy for Colic. Postoperative monitoring, including evaluation of peritoneal fluid, is used to aid in the diagnosis and treatment plan for complications after colic surgery. The primary objective of this study was to determine serial venous and peritoneal postoperative variables, including L-lactate values in horses after ventral midline exploratory celiotomy. A secondary objective was to evaluate postoperative abdominal ultrasonography as a predictor of complications. A total of 36 client-owned horses with signs of colic undergoing ventral midline exploratory celiotomy were prospectively enrolled in the stud...
Clinical and pathologic findings of splenic tumours in four horses: a case series. Splenic tumours are rare in horses, with limited published literature consisting primarily of individual case reports and one hepato-splenic lymphoma case series. This case series analyses the clinical presentation, diagnostic findings and clinical outcomes of four cases of splenic neoplasia that presented to a university referral hospital over a three year period (2022-2025). Methods: Presented are two cases of primary splenic lymphoma, and two cases of metastatic melanoma. Three cases (75%) presented with chronic, non-specific clinical signs including weight loss, colic and ventral oedema. O...
Comparison of Rectal and Intraoperative Findings in Horses with Colic. Per rectum examination (PRE) is commonly used in the triage of horses with acute abdominal pain, despite reports of associated risk factors for both horses and personnel, but its diagnostic accuracy is questionable. This multicenter, observational study aimed to evaluate the agreement between PRE findings and surgical findings obtained via exploratory laparotomy in horses with colic. A total of 201 cases from four equine referral hospitals across Europe were included. Rectal findings were categorized as primary (most likely cause of colic) or additional. Agreement with surgical findings was as...
Testicular seminoma: clinical, imaging, and histologic features in nine horses. Testicular seminomas in horses are infrequently reported in the veterinary literature and long-term survival and metastatic potential are not well documented. Objective: Describe the clinical, imaging, and histologic features in 9 horses with testicular seminoma. Methods: Medical records of 9 horses diagnosed with testicular seminoma at a referral hospital between 2000 and 2024 were reviewed. Methods: Horses were included if seminoma was confirmed on histopathology from biopsy or necropsy. Information retrieved included signalment, history, clinical pathology, ultrasonographic findings, treatm...
Imaging of the Equine Abdomen Using Point of Care Ultrasound (POCUS)-A Resource for the Equine Practitioner. Wireless ultrasound (US) probes for point of care (POC) evaluation of horses presented for veterinary evaluation of colic have become widely available in recent years. The availability and performance of this technology mean POCUS is readily available to the equine practitioner and the technology is well suited to patient evaluation or serial monitoring in first opinion practice. In human health care and veterinary contexts, it has been suggested that there is a need for practitioners to better appreciate the value of POCUS for assessment of gastrointestinal structure and function. This study ...
Roux-en-Y gastrojejunostomy and jejunojejunostomy for pyloric obstruction bypass in a horse and a foal. Gastric outflow obstruction in horses is a rare but challenging condition, often resulting from either congenital anomalies or acquired lesions such as chronic ulceration or pyloric polyps. Conventional surgical bypass procedures, including gastrojejunostomy (GJ) or gastroduodenostomy and less commonly duodenojejunostomy, can restore patency but may lead to postoperative complications. Objective: To describe the presentation, surgical management, and postoperative outcome of two horses-an adult and a foal treated with Roux-en-Y gastrojejunostomy combined with a side-to-side jejunojejunostomy (...
Anatomical distribution of meconium detected by focused abdominal ultrasound in hospitalized healthy and sick neonatal foals. Meconium impaction is a common cause of neonatal colic in foals, yet its ultrasonographic appearance and distribution remain poorly characterized. Objective: This study aimed to describe the frequency, distribution, and ultrasonographic appearance of meconium in hospitalized neonatal foals using a standardized focused ultrasound (FUS) abdominal protocol. Methods: The FUS protocol included 9 acoustic windows (3 left-sided, 3 ventral, 3 right-sided) and was performed once during hospitalization by a single operator using a curvilinear transducer. Results: Thirty-six foals (16 healthy and 20 sick...
Electromyographic activity of equine abdominal muscles during single and double riding in hippotherapy. Background: Hippotherapy is a therapeutic intervention that uses the horse as a biomechanical and sensorimotor agent to promote rehabilitation in individuals with physical and neurological disabilities. Depending on patient needs, riding may be performed with a single rider or with double riding, in which a therapist accompanies the practitioner on the horse. However, the effects of these riding configurations on equine trunk muscle activity remain poorly understood, despite their relevance for both horse welfare and the quality of therapeutic stimuli delivered to the patient.Methods: Nine cli...
Near-Term Extrauterine Pregnancy Secondary To Uterine Rupture In A Mare. Uterine rupture is an uncommon but life-threatening complication of equine reproduction, typically associated with dystocia, uterine torsion, fetal manipulation, or hydrops. Tears may occur in either the uterine horns or body, although involvement of the ventral uterine body is rare. This case report describes an 11-year-old Arabian mare at 350 days of gestation that developed abdominal pregnancy secondary to uterine torsion and full-thickness ventral uterine rupture, resulting in fetal death and the free presence of the fetus within the peritoneal cavity. Surgical removal of the fetus and pri...
Venous blood lactate concentration as a predictor of intestinal viability in horses with acquired indirect inguinal hernia. Background: Acquired indirect inguinal hernia represents a life-threatening emergency. Therapeutic decision-making largely depends on intestinal viability, for which specific predictive parameters (such as venous lactate) have not been evaluated.Objectives: Investigating the predictive performance of venous blood lactate and other laboratory results on intestinal viability in horses with acquired indirect inguinal hernias.Study designRetrospective multicentre observational study.Methods: Seventy-four horses diagnosed with acquired indirect inguinal hernia (treated surgically) at two referral h...
Prepubic Tendon Rupture and Uterine Herniation in a Late-Term Kurdish Mare: A Case Report. Prepubic tendon rupture (PPTR) is a rare but life-threatening complication in late-term pregnant mares. It results in abdominal wall failure, ventral oedema and a poor prognosis for both the mare and foetus. A 14-year-old multiparous Kurdish mare at approximately 310 days of gestation presented with acute ventral distension, reluctance to walk and cranial displacement of the udder. Clinical evaluation revealed tachycardia, pallor and Grade 3/4 ventral oedema. Haematology indicated leucocytosis and haemoconcentration. Transabdominal ultrasonography showed a viable foetus and severe thinning of ...
Abdominal palpation per rectum is highly sensitive for identifying small versus large intestinal lesions in horses presenting for colic. To describe the sensitivity, specificity, predictive values, and accuracy of abdominal palpation per rectum in horses treated surgically for colic. Unassigned: Medical records were gathered over 5 years (2019 to 2024). Findings of abdominal palpation per rectum were collected and compared to surgical diagnosis, and cases were categorized as true or false positive and negative. Signalment, physical examination parameters, hematologic values, and years of examiner experience were recorded. Unassigned: Records of 453 horses were included. Overall sensitivity and positive predictive value were 86%...
Malignant Ovarian Teratoma in a Lusitano Filly: Diagnostic Challenges and Clinical Significance. An 8-month-old Lusitano filly (a young female horse) was referred with a five-day history of abdominal distension, respiratory distress, and hyporexia. Clinical and ultrasonographic examinations revealed ventral edema, anemia, leukocytosis, hypoalbuminemia, and bilateral pleural effusion. The filly subsequently developed progressive clinical deterioration, including persistent hyporexia, scant fecal output, and acute colic with nasogastric reflux, followed by sudden respiratory decompensation, collapse, and death. Post-mortem examination revealed a large, multilobulated abdominal mass involvin...
Imaging of the equine abdomen using point of care ultrasound (POCUS): Effects of sedation on intestinal motility in horses. Point of care ultrasonographic (POCUS) assessment of the equine abdomen is now readily available to the equine practitioner using hand-held ultrasound transducers. Commonly used medications may alter the sonographic appearance or function of the small intestine, caecum or colon. Objective: To demonstrate qualitative and quantitative effects of xylazine sedation on intestinal motility of healthy horses using hand-held, wi-fi ultrasound transducers and validate POCUS methodology by determination of intra- and interobserver agreement. Methods: Double-blind cross-over study of eight healthy horses...
Application of a framework to mitigate the risk of surgical site infection after exploratory celiotomy in horses: A retrospective study. To describe the methodology used to identify the contributors to a perceived sudden increase in exploratory celiotomy surgical site infections (SSI) and complications at the North Carolina State University Veterinary Teaching Hospital (NCSU VTH) between 2019 and 2020 and evaluate the effect of the designed intervention up to 4 years after its implementation. Methods: Case-control retrospective study over a five-year period. Methods: A total of 448 horses that underwent exploratory celiotomy for the treatment of acute abdominal pain were included. Methods: Medical records of horses that under...
The efficacy of psyllium combined with aloe vera in treating sand accumulation in equine intestines. Sandy enteropathy is more common in horses living in sandy environments, such as those in Saudi Arabia. Sand accumulation in the intestines can be eliminated and prevented by administering psyllium husk. Unassigned: This study focuses on the combination of psyllium and aloe vera extract, known for its protective and anti-inflammatory properties. Unassigned: Fourteen Arabian horses with naturally acquired sand accumulation were randomly assigned to two groups: the psyllium group (PG, = 7) and the psyllium and aloe vera group (PAG, = 7), both of which were treated daily for 7 days. Efficacy wa...
Serial postoperative peritoneal fluid analyses in horses with naturally-occurring strangulating and non-strangulating gastrointestinal lesions. To describe characteristics of postoperative peritoneal fluid following exploratory laparotomy for naturally-occurring gastrointestinal lesions in horses. Methods: Prospective, observational cohort study. Methods: A total of 26 client-owned horses that underwent exploratory laparotomy for naturally-occurring gastrointestinal lesions. Methods: Abdominocentesis was performed pre- or intraoperatively, and at three time points postoperatively (24, 72, and 168 h). Peritoneal lactate, total protein (TP), total nucleated cell count (TNCC), cytology, and systemic lactate were performed at each time ...
Intra-rater and inter-rater reliability of ultrasonographic intestinal wall thickness measurements in healthy horses. Abdominal ultrasound is widely used to evaluate the intestinal tract of horses. Despite being a routine examination, there is limited data on the reliability of this diagnostic procedure. Objective: To investigate intra- and inter-rater reliability of ultrasonographic intestinal wall thickness measurements in healthy horses. A second aim was to assess variance within repeated measurements to determine threshold values that distinguish whether differences between repeated examinations are true findings versus solely due to measurement variation. Methods: In vivo reliability study. Methods: Eigh...
Development and application of a focused ultrasound protocol in neonatal foals. This study aimed to develop a standardized ultrasound (US) protocol using selected thoracic and abdominal acoustic windows, to assess its feasibility and applicability in healthy foals, and to evaluate its usefulness for detecting common thoracic and abdominal conditions in sick foals. The Focused US (FUS) protocol included 12 thoraco-abdominal windows (4 right-side, 3 ventral, 5 left-side) using a curved-array probe. It was applied to cohorts of healthy (n = 17) and sick (n = 23) foals by a veterinary clinician with limited US experience. The FUS showed good feasibility and applicabil...
Full-laparoscopic nephrosplenic space closure with barbed knotless sutures in horses with left dorsal colon displacement without previous colon repositioning. Nephrosplenic space entrapment (NSE) has reported recurrence rates of 8%‒23%, and closure of the nephrosplenic space (NSS) has been shown to lower the incidence. Described techniques for nephrosplenic space closure (NSC) with concurrent left dorsal displacement (LDD) of the colon at the time of surgery consist of reducing the displaced colon prior to closure. Methods: A retrospective study was performed to evaluate the medical records of horse undergoing NSC between 2017 and 2024. A total of 18 horses with LDD at time of NSC and 21 without displacement at time of NSC were evaluated. Short- a...
Lipid-rich abdominal fluid mimicking chyloabdomen in a horse. We report here a case of lipid-rich abdominal fluid in a 31-y-old Arabian gelding with acute colic. Abdominocentesis yielded opaque, yellow-to-orange peritoneal fluid with an elevated triglyceride concentration (42 g/L, RI: <0.10 g/L; fluid:serum triglyceride ratio 11.4, RI: <1.0). A second abdominocentesis performed 3 d later revealed clear fluid, suggesting transient chyloabdomen. Despite medical management, the horse developed respiratory distress secondary to pharyngeal edema and was euthanized. Autopsy identified a large omental lipoma and severe ulcerative gastritis, but no eff...
Radiological assessment of equestrian-related trauma: A retrospective cohort study. Equestrian sports have been found to cause high rates of injuries. In clinical practise after such injuries, polytrauma protocol workups usually include whole-body computed tomography (WBCT), CT of the chest, abdomen and pelvis with intravenous iodine contrast medium, and CT of the cervical spine and brain without contrast. The purpose was to investigate the use of WBCT in equestrian-related accidents, to analyse demographics, mechanism of injury (MOI), therapy and severity of equine-related accidents, radiology, and the use of protecting equipment. Methods: This is a retrospective study inclu...
Mechanical characterization of the equine linea alba and finite element modeling of suture patterns effects on its closure. Postoperative incisional complications are common in horses following abdominal surgery, which typically involves an incision through the abdominal wall along the linea alba. The linea alba is a fibrous band running in the craniocaudal direction along the ventral abdomen. This incision is closed with sutures, where the choice of suture pattern and surgical technique has shown to influence the rate of complications. Therefore, this study investigated how different suture patterns and variations influence the stresses in the tissue by combining experimental and computational biomechanics. The me...
Risk factors for strangulating lipoma obstruction and lipomata in horses. Strangulating lipoma obstruction (SLO) is the most common cause of equine small intestinal strangulation and is fatal without surgery. Currently, epidemiological information is primarily limited to signalment-related risk factors and requires further investigation. Objective: To identify horse-level risk factors for SLO and/or abdominal lipoma(s) (LP) formation in horses with acute colic that underwent surgery or post-mortem examination at participating equine clinics. Methods: Prospective, international, multicentre, epidemiological study. Methods: An epidemiological study was conducted over ...
Computed Tomography Angiography Diagnosis of a Congenital Intrahepatic Central Divisional Portocaval Shunt in an Arabian Filly. A 1-month-old Arabian filly presented for central neurologic signs that developed shortly after birth. Hyperammonemia and elevated bile acids were identified, prompting abdominal computed tomography angiography (CTA) evaluation on suspicion of congenital portosystemic shunting (PSS). CTA revealed an anomalous vessel connecting the intrahepatic central divisional portal branch and caudal vena cava, with microhepatica and bilateral renomegaly. Necropsy confirmed a single, congenital, and intrahepatic central divisional portocaval shunt. Imaging literature addressing PSS in foals is sparse, with ...
Equine Abdominal Surgery: Predicting and Preventing Postoperative Complications. Morbidity after equine abdominal surgery is common and post-operative complications can be costly to owners. The focus of this article is on intraoperative decision-making and current evidence, including surgical techniques and prognostic information that can prevent and predict complications. Emerging techniques for intra-operative monitoring and intestinal viability assessment, anastomotic techniques, body wall suturing, peritonitis treatment, and pain management are discussed.
Mechanisms of Variation in Abdominal Adipose Color Among Male Kazakh Horses Through Non-Coding RNA Sequencing. The Kazakh horse is a highly valuable indigenous Chinese breed known for its use in both milk and meat production. However, the mechanisms underlying color variation in the abdominal adipose tissue of this breed remain poorly understood. In this study, the sequencing of non-coding RNAs (ncRNAs) was conducted on abdominal adipose tissue of different colors from Kazakh horses, with the aim of investigating the molecular mechanisms responsible for this variation. A total of 205 differentially expressed long non-coding RNAs (DELncRNAs) including , , and ; 52 differentially expressed microRNAs (DEm...
Radiographic area of large intestinal sand accumulation in horses may determine clinical significance. Sand enteropathy is a common disease in horses worldwide. The presence of sand does not always cause disease. The amount of sand required to cause clinical disease is not well established. Objective: To establish a weight-indexed cut-off for the diagnosis of clinically relevant sand enteropathy based on radiographic area. Methods: Cross-sectional. Methods: Abdominal radiographs were acquired from clinically normal horses and compared with horses with clinical sand enteropathy. Sand area and sand area per kilogram of body weight were calculated. A receiver operating characteristic (ROC) curve w...
Bilateral testicle teratoma in an equine fetus: a rare case. Fetal loss in mares can result from a range of causes, including infectious agents or noninfectious conditions such as neoplasia, which may originate from either the fetus or the dam. Among neoplastic conditions, teratomas are rarely reported and, to date, have not been described in the equine fetal testis. Teratomas arise from the partial differentiation of pluripotent germ cells and may occur in young and adult horses, typically in cryptorchid testes. Their gross and histopathological features vary widely between cases. This report describes a rare case of bilateral fetal testicular teratoma...
