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Topic:Hemorrhage

Hemorrhage in horses refers to the escape of blood from blood vessels into surrounding tissues or outside the body, which can occur due to trauma, surgical procedures, or underlying health conditions. It presents in various forms, such as internal bleeding, external bleeding, or bleeding into body cavities. Hemorrhage can affect different systems within the horse, including the respiratory, gastrointestinal, and musculoskeletal systems, depending on the location and severity of the bleeding. The management of hemorrhage involves identifying the source of bleeding, controlling blood loss, and providing supportive care to maintain the horse's physiological stability. This page compiles peer-reviewed research studies and scholarly articles that explore the causes, mechanisms, and management strategies of hemorrhage in equine medicine.
Descriptive analysis of longitudinal endoscopy for exercise-induced pulmonary haemorrhage in Thoroughbred racehorses training and racing at the Hong Kong Jockey Club – letter.
Equine veterinary journal    January 19, 2015   Volume 47, Issue 3 374-375 doi: 10.1111/evj.12388
Preston S, Riggs CM.No abstract available
Suspensory ligament degeneration associated with pituitary pars intermedia dysfunction in horses.
Veterinary journal (London, England : 1997)    January 6, 2015   Volume 203, Issue 3 348-350 doi: 10.1016/j.tvjl.2014.12.037
Hofberger S, Gauff F, Licka T.In older horses, pituitary pars intermedia dysfunction (PPID) and suspensory ligament (SL) degeneration are common. The aim of the present study was to identify histopathological changes in the SL in horses with PPID. SLs of four horses with clinical signs of PPID (17-26 years of age) were compared with SLs from four old horses (18-31 years of age) and three young horses (4-9 years of age). In horses with PPID, there was reduced longitudinal arrangement of collagen fibres in SLs, along with inclusions of cartilage, extracellular matrix and haemorrhage, as well as significant proteoglycan accum...
Cluster of cases of massive hemorrhage associated with anticoagulant detection in race horses. Carvallo FR, Poppenga R, Kinde H, Diab SS, Nyaoke AC, Hill AE, Arthur RM, Uzal FA.Five horses originating from 4 different California race tracks were submitted to the California Animal Health and Food Safety Laboratory for necropsy and diagnostic workup. The 5 horses had a history of sudden collapse and death during exercise. In all of them, massive hemoperitoneum and hemorrhages in other cavities or organs were observed. The liver from these 5 animals and from 27 horses that had been euthanized due to catastrophic leg injuries (controls) were subjected to a rodenticide anticoagulant screen. Traces of brodifacoum, diphacinone, or bromadiolone were detected in the 5 horses ...
Exercise-induced pulmonary haemorrhage impairs racing performance in Thoroughbred racehorses.
Equine veterinary journal    December 11, 2014   Volume 47, Issue 3 358-365 doi: 10.1111/evj.12368
Morley PS, Bromberek JL, Saulez MN, Hinchcliff KW, Guthrie AJ.Exercise-induced pulmonary haemorrhage (EIPH) occurs commonly in Thoroughbred racehorses worldwide. While EIPH is believed to be an important cause of impaired performance in these horses, there is limited evidence from sufficiently powered studies to evaluate this association. Objective: To evaluate whether EIPH is associated with finishing position, distance finished behind race winners and differences in race earning among Thoroughbred horses racing in South Africa. Methods: Prospective cross-sectional study. Methods: One thousand Thoroughbred horses racing in South Africa were enrolled pri...
Percutaneous ultrasound-guided arterial angiography for transarterial coil placement in anesthetized and standing horses.
Veterinary surgery : VS    October 16, 2014   Volume 44, Issue 3 322-327 doi: 10.1111/j.1532-950X.2014.12295.x
Maninchedda U, Lepage OM, Gangl M, Benredouane K.To (1) describe ultrasound-guided percutaneous introduction of a transarterial angiographic catheter into the common carotid artery (CCA); (2) investigate the feasibility of using angiography of the carotid arteries in the guttural pouch region and assess transarterial coil (TAC) placement into the internal carotid artery (ICA). Methods: Experimental study. Methods: Healthy Standardbred horses (n = 6), aged 5-8 years. Methods: Six horses had ultrasound-guided percutaneous CCA catheterization and angiography under general anesthesia. Catheterization sites were ultrasonographically evaluated pos...
Rupture of the gastrocnemius muscle in neonatal thoroughbred foals: a report of three cases.
Journal of equine science    October 3, 2014   Volume 25, Issue 3 61-64 doi: 10.1294/jes.25.61
Sato F, Shibata R, Shikichi M, Ito K, Murase H, Ueno T, Furuoka H, Yamada K.Rupture of the gastrocnemius muscle is occasionally found in neonatal foals associated with dystocia and assisted delivery. In this report, 3 cases of gastrocnemius muscle disruption in newborn Thoroughbred foals (6, 5 and 2 days old) are reported. In all cases, the foals were presented with inability to rise unassisted postpartum, a dropped tarsus and swelling in the caudal aspect of the thigh accompanied by a hematoma. Ultrasonography, radiography, computerized tomography (CT) and subsequent autopsy were performed to confirm the clinical and pathological features of these cases.
Descriptive analysis of longitudinal endoscopy for exercise-induced pulmonary haemorrhage in Thoroughbred racehorses training and racing at the Hong Kong Jockey Club.
Equine veterinary journal    September 17, 2014   Volume 47, Issue 3 366-371 doi: 10.1111/evj.12326
Preston SA, Riggs CM, Singleton MD, Troedsson MH.Exercise-induced pulmonary haemorrhage (EIPH) is reported as a performance limiting condition in racehorses, yet few longitudinal studies characterising EIPH have been reported. Objective: To characterise EIPH during training and racing in the absence of prophylactic medication with furosemide among horses imported to Hong Kong during 2007-2012. Methods: Retrospective descriptive study of clinical endoscopy, EIPH status, and racing records. Methods: Thoroughbred geldings (n = 822) imported from New Zealand between 2007 and 2012 were retrospectively assigned to 4 groups: diagnosed with EIPH via...
Re-examining EIPH in racing: stopping the Lasix?
Veterinary journal (London, England : 1997)    September 6, 2014   Volume 202, Issue 2 203 doi: 10.1016/j.tvjl.2014.09.001
Leadon DP.No abstract available
Identification, management and outcome of postoperative hemoperitoneum in 23 horses after emergency exploratory celiotomy for gastrointestinal disease.
Veterinary surgery : VS    July 5, 2014   Volume 44, Issue 3 379-385 doi: 10.1111/j.1532-950X.2014.12236.x
Gray SN, Dechant JE, LeJeune SS, Nieto JE.To investigate postoperative hemoperitoneum in a population of horses that had surgery for colic. Methods: Retrospective case series. Methods: Horses (n = 23). Methods: Preoperative, intraoperative, and postoperative information was obtained from medical records (1985-2012) of horses with postoperative hemoperitoneum after emergency exploratory celiotomy. Pre-existing hemoperitoneum during surgery and nonsurgical hemoperitoneum were excluded. Results: Of 4520 horses that had emergency exploratory celiotomy for gastrointestinal disease, 23 horses met inclusion criteria; an incidence of 0.5%. Ho...
Heritability of epistaxis in the Australian Thoroughbred racehorse population.
Veterinary journal (London, England : 1997)    June 16, 2014   Volume 202, Issue 2 274-278 doi: 10.1016/j.tvjl.2014.06.010
Velie BD, Raadsma HW, Wade CM, Knight PK, Hamilton NA.Post exercise epistaxis, the manifestation of a severe form of exercise-induced pulmonary haemorrhage (EIPH), has been observed in many equine racing populations. Although multiple analyses have suggested that non-genetic factors may lead to the development of this condition, relatively little consensus has been reached regarding its genetic aetiology. The objective of this study was to provide insight into both genetic and non-genetic factors that may contribute to the expression of epistaxis in the Australian Thoroughbred racing population. Racing records and reported epistaxis occurrences w...
Coagulopathies in horses.
The Veterinary clinics of North America. Equine practice    June 4, 2014   Volume 30, Issue 2 437-ix doi: 10.1016/j.cveq.2014.04.002
Epstein KL.Although primary coagulopathies are rare in horses, changes in coagulation and fibrinolysis are commonly associated with inflammatory diseases. A clear understanding of the pathophysiology of normal and abnormal hemostasis is required to be able to choose and interpret diagnostic tests evaluating coagulation and fibrinolysis. After diagnosis, treatment of the underlying disease must occur regardless of whether clinical manifestations (excessive bleeding or thrombosis) of the coagulopathy are present or not. Specific treatment may be initiated if there are clinical signs of coagulopathy.
Acute hemorrhage and blood transfusions in horses.
The Veterinary clinics of North America. Equine practice    June 4, 2014   Volume 30, Issue 2 427-ix doi: 10.1016/j.cveq.2014.04.004
Mudge MC.Treatment of acute hemorrhage in the horse involves targeted medical management and also may involve surgical stabilization. This article provides an approach to the initial stabilization and information on available topical hemostats. The practice of blood collection and transfusion is also described, with attention to new information on viability of transfused equine blood, potential negative effects of blood transfusion, and methods of cell salvage.
Operative factors associated with short-term outcome in horses with large colon volvulus: 47 cases from 2006 to 2013.
Equine veterinary journal    May 29, 2014   Volume 47, Issue 3 279-284 doi: 10.1111/evj.12273
Gonzalez LM, Fogle CA, Baker WT, Hughes FE, Law JM, Motsinger-Reif AA, Blikslager AT.There is an important need for objective parameters that accurately predict the outcome of horses with large colon volvulus. Objective: To evaluate the predictive value of a series of histomorphometric parameters on short-term outcome, as well as the impact of colonic resection on horses with large colon volvulus. Methods: Retrospective cohort study. Methods: Adult horses admitted to the Equine and Farm Animal Veterinary Center at North Carolina State University, Peterson and Smith and Chino Valley Equine Hospitals between 2006 and 2013 that underwent an exploratory coeliotomy, diagnosed with ...
Prospective study of the association between exercise-induced pulmonary haemorrhage and long-term performance in Thoroughbred racehorses.
Equine veterinary journal    May 29, 2014   Volume 47, Issue 3 350-357 doi: 10.1111/evj.12263
Sullivan SL, Anderson GA, Morley PS, Hinchcliff KW.Exercise-induced pulmonary haemorrhage (EIPH) is associated with impaired short-term race performance but consequences to long-term race performance of Thoroughbred racehorses are unknown. Knowledge of effects of EIPH on performance over a prolonged time would inform the need for management and treatment of this disorder. Objective: To determine the relationship between EIPH detected on a single occasion and long-term athletic performance in Thoroughbred racehorses. Methods: Prospective, longitudinal, observational epidemiological study conducted from 2003 to 2012. Methods: Seven hundred and f...
Colonic gastrointestinal stromal tumor resulting in recurrent colic and hematochezia in a warmblood gelding.
The Canadian veterinary journal = La revue veterinaire canadienne    May 3, 2014   Volume 55, Issue 5 471-474 doi: 10.1016/j.vetmic.2013.03.032
Malberg JA, Webb BT, Hackett ES.A 14-year-old Trakehner gelding was evaluated for recurrent colic, with episodes occurring over 1 year. Signs were consistent with intermittent ascending colon obstruction and hematochezia. Necropsy examination revealed an ulcerated mass extending into the lumen of the right dorsal ascending colon. Gross and histologic appearance and immunoreactivity to c-kit (CD117), desmin, vimentin, and smooth muscle actin, were consistent with a diagnosis of gastrointestinal stromal tumor. Tumeur ventrale gastro-intestinale du côlon produisant des coliques et de l’hématochézie et des coliques récurre...
Mass envenomation of a mare and foal by bees.
Australian veterinary journal    April 29, 2014   Volume 92, Issue 5 141-148 doi: 10.1111/avj.12177
Lewis N, Racklyeft DJ.The clinical course of toxic envenomation of a mare and her foal after an attack by a swarm of bees in the Upper Hunter Valley of New South Wales is described. Early agitation and urticaria were followed by more severe systemic clinical signs within 18 h. There was severe, generalised angioedema, rhabdomyolysis, hypovolaemia, gastrointestinal stasis and renal injury. A particular feature in the mare was almost maniacal behaviour during the first 48 h. Clinical pathological examination showed evidence of haemoconcentration, intravascular haemolysis, thrombocytopenia, azotaemia, rhabdomyolysis a...
Straight from the horse’s mouth: neurological injury in equestrian sports.
Neurological research    April 13, 2014   Volume 36, Issue 10 873-877 doi: 10.1179/1743132814Y.0000000373
Srinivasan V, Pierre C, Plog B, Srinivasan K, Petraglia AL, Huang JH.Equestrian sports can result in a variety of injuries to the nervous system due to many factors. We describe our series of 80 patients with injuries sustained during participation in equestrian sports. Results: All patients seen at the regional trauma center with injuries associated with equestrian sports between 2003 and 2011 were reviewed; 80 patients were identified. Fifty-four per cent were female and the average age was 37 years (2·2-79·3). The mean injury severity score (ISS) was 9·9 ± 0·7. Only two patients had documented helmet use. Glasgow coma score (GCS) was 15 in 93% of patien...
Coil embolization of a palatine artery pseudoaneurysm in a gelding.
Veterinary surgery : VS    April 5, 2014   Volume 43, Issue 4 487-494 doi: 10.1111/j.1532-950X.2014.12174.x
McClellan NR, Mudge MC, Scansen BA, Jung SS, Russell D.To describe successful transarterial coil embolization of a palatine artery pseudoaneurysm that extended into the caudal maxillary sinus of a gelding. Methods: Clinical report. Methods: A 24-year-old Morgan gelding with right-sided epistaxis. Methods: The right maxillary sinus was imaged by radiography, computed tomography, and sinoscopy. Angiography was performed to locate the source of bleeding, and transarterial coil embolization of a right palatine artery pseudoaneurysm was performed. Results: There was some mucoid nasal discharge and an intermittent cough postoperatively. No epistaxis was...
Effects of experimental mechanical manipulations on local inflammation in the jejunum of horses.
American journal of veterinary research    March 29, 2014   Volume 75, Issue 4 385-391 doi: 10.2460/ajvr.75.4.385
Hopster-Iversen CC, Hopster K, Staszyk C, Rohn K, Freeman DE, Rötting AK.To determine characteristics of the inflammatory reaction in the jejunum of horses in response to various mechanical manipulations. Methods: 12 adult warm blood horses without gastrointestinal tract disorders. Methods: The proximal aspect of the jejunum in each horse was divided into 5 segments, and the following manipulations were performed: manual emptying, placement of Doyen forceps, enterotomy alone, enterotomy with mucosal abrasion, and serosal abrasion. Jejunum samples were collected before (control), immediately after, and 30 minutes after the end of manipulations and histologically eva...
Hemorrhage and blood loss-induced anemia associated with an acquired coagulation factor VIII inhibitor in a Thoroughbred mare.
Journal of the American Veterinary Medical Association    February 27, 2014   Volume 244, Issue 6 719-723 doi: 10.2460/javma.244.6.719
Winfield LS, Brooks MB.A 23-year-old Thoroughbred mare was evaluated because of a coagulopathy causing hemoperitoneum, hematomas, and signs of blood loss-induced anemia. Results: The mare had tachycardia, pallor, hypoperfusion, and a large mass in the right flank. The mass was further characterized ultrasonographically as an extensive hematoma in the body wall with associated hemoabdomen. Coagulation testing revealed persistent, specific prolongation of the activated partial thromboplastin time (> 100 seconds; reference interval, 24 to 44 seconds) attributable to severe factor VIII deficiency (12%; reference inte...
Coagulation, oncotic and haemodilutional effects of a third-generation hydroxyethyl starch (130/0.4) solution in horses.
Equine veterinary journal    February 18, 2014   Volume 46, Issue 6 739-744 doi: 10.1111/evj.12223
Viljoen A, Page PC, Fosgate GT, Saulez MN.Clinical indications for hydroxyethyl starches (HES) in horses include rapid plasma volume expansion and oncotic support during periods of hypoproteinaemia. Side effects such as coagulopathies associated with HES administration pose limitations to their use in veterinary medicine. In man, tetrastarch (130/0.4) has demonstrated less profound effects on coagulation compared with first- and second-generation HES. Objective: To evaluate the haemostatic and oncotic effects of tetrastarch (130/0.4) administered at 10, 20 and 40 ml/kg bwt in healthy horses. Methods: Randomised crossover experiment....
Standing equine sinus surgery.
The Veterinary clinics of North America. Equine practice    January 31, 2014   Volume 30, Issue 1 45-62 doi: 10.1016/j.cveq.2013.11.004
Barakzai SZ, Dixon PM.Trephination of the equine sinuses is a common surgical procedure in sedated standing horses. Standing sinus flap surgery has become increasingly popular in equine referral hospitals and offers several advantages over sinusotomy performed under general anesthesia, including reduced patient-associated risks and costs; less intraoperative hemorrhage, allowing better visualization of the operative site; and allows surgeons to take their time. Other minimally invasive surgical procedures include sinoscopic surgery, balloon sinuplasty, and transnasal laser sinonasal fenestration. Despite the proced...
Standing male equine urogenital surgery.
The Veterinary clinics of North America. Equine practice    January 31, 2014   Volume 30, Issue 1 169-190 doi: 10.1016/j.cveq.2013.11.005
Adams A, Hendrickson DA.The advantages of performing standing male urogenital surgeries are numerous when compared with performing the same surgery in the anesthetized animal. Some traditional standing male urogenital surgeries, such as castrations, may be faster and cheaper to perform. Laparoscopic standing male urogenital surgeries may allow for improved visualization of the surgical field, decreased hemorrhage, and decreased morbidity and convalescence. Limitations of standing procedures may include increased danger to the surgeon because of fractious behavior of the patient, and increased expense and training ass...
Comparison of tensile strength and early healing of acute repeat celiotomy through a ventral median or a right ventral paramedian approach.
Veterinary surgery : VS    January 27, 2014   Volume 43, Issue 6 741-749 doi: 10.1111/j.1532-950X.2014.12139.x
Boone LH, Epstein K, Cremer J, Rogers A, Foutz T, Quandt J, Howerth E, Mueller PO.To compare tensile strength, failure location, and histologic features after acute repeat celiotomy through a ventral median (RVM) or a right ventral paramedian (RVP) celiotomy in horses. Methods: Ex vivo experimental study. Methods: Adult horses (N = 18). Methods: Twelve adult horses had original ventral median (OVM) celiotomy. Repeat celiotomy was performed 72 hours postoperatively through the original ventral median (RVM, N = 6) or a RVP (N = 6) celiotomy. Celiotomies were scored daily for edema, drainage, and dehiscence. Fourteen days after repeat celiotomy, horses were eutha...
Measurement of Carbonic Anhydrase I and II Isozymes in Feces as a Marker of Occult Blood in Horses with Intestinal Tract Bleeding.
Journal of equine science    December 27, 2013   Volume 24, Issue 4 57-62 doi: 10.1294/jes.24.57
Nishita T, Anezaki R, Matsunaga K, Orito K, Kasuya T, Sakanoue H, Matsunaga A, Arishima K.Although endoscopy is the definitive diagnostic method for the detection of colonic ulcers, the equipment required for performing the test is costly and difficult to use. Therefore, a simple cost-effective and reliable screening test for intestinal tract bleeding is needed. To this end, we measured carbonic anhydrase isozymes (CA-I and CA-II) originating from erythrocytes by ELISA in order to determine if they could be used as markers of occult blood in feces. For fecal extract preparation, 2 g of feces were mixed with 4 ml of 0.01 M Tris-HCl (pH 8.0) containing 0.01% thimerosal. The concentra...
An endoscopic test for bit-induced nasopharyngeal asphyxia as a cause of exercise-induced pulmonary haemorrhage in the horse.
Equine veterinary journal    December 22, 2013   Volume 46, Issue 2 256-257 doi: 10.1111/evj.12205
Cook WR.No abstract available
Hemostatic profile during late pregnancy and early postpartum period in mares.
Theriogenology    December 11, 2013   Volume 81, Issue 4 639-643 doi: 10.1016/j.theriogenology.2013.12.003
Bazzano M, Giannetto C, Fazio F, Marafioti S, Giudice E, Piccione G.Hemostasis is a physiological process that prevents excessive blood loss and represents a protective mechanism at the time of delivery. Peripartum hemorrhage is a recurring hazardous condition to mare's health; therefore, we aimed to study mares' hemostatic profile to investigate whether physiological adjustments occur during late pregnancy and early postpartum. Fifteen pregnant mares have been monitored from the 34th week of pregnancy until the third week after foaling. Fifteen nonpregnant mares were used as control group. Jugular blood samples were analyzed for platelet count (Plt), prothrom...
Weissella confusa septicemia in a foal. Lawhon SD, Lopez FR, Joswig A, Black HC, Watts AE, Norman TE, Porter BF.Weissella confusa is a Gram-positive bacterium that has been identified in environmental and food samples from around the world. Rare cases of bacteremia in immunocompromised people have been reported. A 2-day-old foal was presented for weakness and suspected sepsis. Blood culture yielded pure growth of a Gram-positive coccobacillus, which was identified as W. confusa through sequencing of the 16S ribosomal DNA. Although the foal initially responded to antimicrobial therapy with ceftiofur and metronidazole, it later developed septic complications of the right tarsocrural joint and right digita...
Isolation of saint louis encephalitis virus from a horse with neurological disease in Brazil.
PLoS neglected tropical diseases    November 21, 2013   Volume 7, Issue 11 e2537 doi: 10.1371/journal.pntd.0002537
Rosa R, Costa EA, Marques RE, Oliveira TS, Furtini R, Bomfim MR, Teixeira MM, Paixão TA, Santos RL.St. Louis encephalitis virus (SLEV) is a causative agent of encephalitis in humans in the Western hemisphere. SLEV is a positive-sense RNA virus that belongs to the Flavivirus genus, which includes West Nile encephalitis virus, Japanese encephalitis virus, Dengue virus and other medically important viruses. Recently, we isolated a SLEV strain from the brain of a horse with neurological signs in the countryside of Minas Gerais, Brazil. The SLEV isolation was confirmed by reverse-transcription RT-PCR and sequencing of the E protein gene. Virus identity was also confirmed by indirect immunofluore...
Bleeding in the subarachnoid space: a possible complication during laser therapy for equine progressive ethmoid haematoma.
Tijdschrift voor diergeneeskunde    November 10, 2013   Volume 138, Issue 10 30-33 
Vreman S, Wiemer P, Keesler RI.A 10-year-old KWPN (Royal Warmblood Studbook of the Netherlands) gelding was euthanized after developing severe neurological symptoms preceded by severe epistaxis during laser treatment for progressive ethmoid haematoma (PEH) in the right nasal cavity. Postmortem examination of the head revealed a large amount of clotted blood between the right ventral and dorsal conchae in the nasal cavity and acute haemorrhage in the right subarachnoid space. Histologically, there was moderate, acute polioencephalomalacia in the neuropil adjacent to the haemorrhage. The haemorrhages were most likely caused b...
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