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Topic:Case Reports
Case reports in equine medicine provide detailed accounts of individual horses' clinical presentations, diagnostic processes, treatments, and outcomes. These reports are valuable for documenting rare conditions, novel treatment approaches, or unique clinical insights that may not be captured in larger studies. By focusing on individual cases, these reports contribute to the broader understanding of equine health and disease management. They often include comprehensive information on the horse's history, clinical findings, diagnostic tests, therapeutic interventions, and follow-up evaluations. This page assembles peer-reviewed case reports and scholarly articles that explore diverse aspects of equine health, offering insights into specific medical scenarios and their implications for veterinary practice.
Attempted conversion of twin to singleton pregnancy in two mares with associated changes in plasma oestrone sulphate concentrations. The removal of one of twin embryos was attempted by infusion of 24% (w/v) saline into the gestation sac in 2 mares by laparotomy. The treatment was successful in one mare (Case 1) and the untreated embryo remained viable. However, neither foetus survived in the second mare (Case 2). Plasma oestrone sulphate (E1S) concentrations fell immediately after treatment in both mares but recovered to approximately 50% of pretreatment levels in Case 1. In Case 2 plasma E1S concentrations declined steadily and were less than 1 ng/ml within 6 days of treatment. These preliminary results suggest that the me...
Scapular notch resection for suprascapular nerve decompression in 12 horses. Supraspinatus and infraspinatus muscle paralysis with atrophy was treated by partial osteotomy of the scapula, deep to the suprascapular nerve. The horses had various gait abnormalities, which were corrected by the surgery, but regeneration of the muscles varied from partial to complete, depending on the duration of the condition and the degree of atrophy before surgery.
Repair of a delayed-union stress fracture of the dorsal cortex of a metacarpal bone in a horse. A delayed union metacarpal stress fracture was repaired in a horse, using lag-screw fixation in conjunction with dc electrical stimulation. Twelve weeks after surgery, radiographic and scintigraphic evaluations revealed that the fracture line was not discernible and that there was a decrease in radiopharmaceutic uptake, as compared with that in previous bone imaging studies. In this horse, DC stimulation of a delayed union stress fracture in a bone resulted in a healing pattern similar to that in human beings with delayed union fractures when treated with electrical stimulation.
Work intolerance in a horse with thyroid carcinoma. A thyroid carcinoma was diagnosed in a 14-year-old competitive trail horse with a 3-month history of work intolerance. Abnormal findings included low base-line triiodothyronine (T3) and thyroxine (T4) values, a large thyroid gland and decreased work tolerance. Nuclear medicine scanning revealed displacement of the right thyroid gland by a mass. Needle biopsy of the mass revealed neoplastic changes compatible with thyroid carcinoma. After removing the tumor surgically, T3 and T4 values returned to normal. Subsequently, the horse was able to compete successfully. Horses with work intolerance com...
BCG treatment of periocular sarcoid. Twenty-six horses and five mules with periocular sarcoids were treated with intralesional injections of a purified bacillus of Calmette and Guerin (BCG) cell walls in oil suspension. All sarcoids were cured and the horses and mules remained free from recurrence of sarcoid during the two-year follow-up period.
Clinicopathological features of lymphosarcoma involving the thoracic cavity in the horse. The clinical and post mortem features of 11 cases of lymphosarcoma involving the thoracic cavity are reviewed. The clinical findings included inappetence, weight loss, pectoral oedema, dyspnoea, pleural effusion and distension of the jugular veins. Dysphagia was present in three cases. At post mortem examination lesions were found in the abdomen as well as the chest in eight cases; clinical signs of abdominal disease were present in two cases. The features of nine other similar cases recorded in the literature are reviewed.
Ultrasonographic diagnosis of aorto-iliac thrombosis. A linear array 5 mHz ultrasonic scanner was used to diagnose aorto-iliac thrombosis in a 3 year old Standardbred gelding. There are no reports in the literature of utilization of ultrasonography for visualization of an aortic thrombus. The technique is fairly non-invasive, requiring only a rectal examination with a linear array probe. Arteriography is the only other method described for actual visualization of a thrombus. This procedure is technically difficult and highly invasive.
Malignant edema in horses. Malignant edema (clostridial myositis) was diagnosed in 9 horses with signs of illness that included fever, depression, painful muscular swellings, and toxemia. The infection followed intramuscular injections in 8 horses and developed in a puncture wound in 1 horse. Treatment consisted of surgical fenestration of the involved muscle, high doses of penicillin, nonsteroidal anti-inflammatory agents and analgesics, and supportive fluid therapy. Five horses recovered and 4 died. Those that died had advanced signs of the disease at admission.
Traumatic gastropericarditis in a horse. An ingested metallic foreign body migrated from the stomach and induced restrictive pericarditis in a horse. Necropsy revealed chronic abdominal and acute thoracic lesions. Although rare, ingested foreign body migration should be considered in the differential diagnosis of body cavity disease in horses.
Closed reduction and blind cross-pinning for repair of a proximal tibial fracture in a foal. A 4-day-old foal underwent repair of a proximal metaphyseal fracture of the tibia. After closed reduction, fixation was achieved by use of blind cross-pinning. Thirty-five days after surgery, radiography demonstrated complete healing. The foal was mildly lame 4 months after repair of the fracture. Blind cross-pinning may be considered as a method of repair for certain long bone fractures in small foals.
Comparison of suture materials and suture patterns for inverting intestinal anastomosis of the jejunum in the horse. In 7 horses, 4 anastomoses were done in the small intestine in each, using the combinations of synthetic absorbable monofilament and multifilament suture materials with continuous- and interrupted-suture patterns in the serosubmucosal layer of a 2-layer inverting-suture technique. Horses were evaluated 30 days after the operation for adhesion formation, lumen diameter, evidence of chronic obstruction, and suture tract inflammation at the anastomosis. Postoperative obstruction occurred in 5 of the 7 horses, and 6 horses survived. One horse was euthanatized on postoperative day 6 after 48 hours ...
Cystic calculi in two horses. The use of real-time ultrasound for examination of the bladder was a useful diagnostic aid in 2 cases of cystic calculi. The ultrasound procedure revealed that a firm mass palpated per rectum in the bladder of one horse was a calculus. In the other horse, ultrasound revealed additional small uroliths. To remove the uroliths in both horses, laparocystidotomy via a ventral paramedian approach was chosen because it provided the best access to the bladder lumen. The calculi were analyzed by qualitative chemical analysis and quantitative crystallography. Results differed between analysis methods. C...
Pudendal and caudal rectal nerve blocks in the horse – An anesthetic procedure for reproductive surgery. The pudendal and caudal rectal nerves in four male and five female adult crossbred horses were anesthetized with a local solution. The injection site was located at the foramen for the caudal gluteal artery and vein in the sacrosciatic ligament. Twenty milliliters of local anesthetic solution were injected via a 15-cm, 18-gauge needle. Quantitative data on anesthesia were determined from these injections. Dye was injected with the anesthetic in four additional horses so that accurate placement of the solution could be determined at postmortem examination. Satisfactory anesthesia of the anus, p...
Retropharyngeal infections in five horses. Five horses with retropharyngeal (RP) infections had clinical signs of dysphagia and/or dyspnea. Diagnosis was confirmed, using pharyngeal endoscopy and lateral radiography of the pharynx. One horse responded to surgical drainage of a RP abscess and was sound at light work. One horse responded to medical management after the site of infection was surgically explored. Two horses recovered after medical management; the RP abscess of 1 of these 2 horses ruptured spontaneously into the pharynx and the other horse became racing sound. The fifth horse remained dysphagic and had left laryngeal hemipl...
