Cecocolic and cecocecal intussusception in horses: 30 cases (1976-1996).
Abstract: To determine the prognosis in horses with cecocolic or cecocecal intussusception. Methods: Retrospective study. Methods: 30 horses with cecocolic intussusception or cecocecal intussusception. Methods: 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. Results: 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). Conclusions: 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.
Publication Date: 1999-01-15 PubMed ID: 9887945
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- Journal Article
Summary
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The research investigated cecocolic and cecocecal intussusception in horses over a period of twenty years, assessing their prognosis and effective surgical treatments. The data was collected from 30 horses, specifically their medical history, physical examination results, and laboratory values. The study found positive outcomes for surgical correction methods, particularly reduction through colotomy.
Methods
- The article presents a retrospective study in which 30 horses diagnosed with cecocolic intussusception or cecocecal intussusception were investigated.
- The information collected from each case included the horse’s medical history, physical examination findings, and results from laboratory tests such as hematologic examination, serum biochemical analysis, and the examination of peritoneal fluid.
- The study also included a one-year follow-up via the telephone to determine the long-term survival rate of the horses.
Results
- The age of the horses in the study ranged from 7 months to 30 years, with a majority, 63%, being 3 years old or younger.
- The breed overrepresented in the sample was the Standardbred horse.
- Most of the horses suffered from an acute to subacute disease, while 4 had a chronic wasting condition.
- Intussusception was suspected mainly through physical examination and, in fewer cases, through ultrasonographic findings.
- Some horses with colic had scant, soft feces for more than a day.
- Six of the horses passed away or were euthanized without undergoing surgery.
- Mortality or euthanization during surgery was due to peritonitis, rupture of the cecum, and irreducible intussusception.
- All horses with chronic disease were euthanized due to irreversible changes in the cecum.
- Of those who recovered post-surgery, the majority, 15 out of 18, survived in the long term.
Surgical Treatments
- Different surgical interventions were applied, including reduction with or without partial typhlectomy, reduction through a colotomy and partial typhlectomy, and an ileocolostomy.
- Bypass procedure by ileocolostomy was suggested as a last resort treatment option.
Conclusions
- The prognosis for horses with cecocolic intussusception was found to be good when surgical correction was applied without delay.
- Among the surgical treatments, reduction through colotomy was found to have a high success rate.
Cite This Article
APA
Martin BB, Freeman DE, Ross MW, Richardson DW, Johnston JK, Orsini JA.
(1999).
Cecocolic and cecocecal intussusception in horses: 30 cases (1976-1996).
J Am Vet Med Assoc, 214(1), 80-84.
Publication
Researcher Affiliations
- Department of Clinical Studies, New Bolton Center, School of Veterinary Medicine, University of Pennsylvania, Kennett Square 19348, USA.
MeSH Terms
- Animals
- Cecal Diseases / diagnosis
- Cecal Diseases / surgery
- Cecal Diseases / veterinary
- Cecum / surgery
- Colon / surgery
- Colostomy / veterinary
- Euthanasia / veterinary
- Female
- Follow-Up Studies
- Horse Diseases / diagnosis
- Horse Diseases / surgery
- Horses
- Ileostomy / veterinary
- Intussusception / diagnosis
- Intussusception / surgery
- Intussusception / veterinary
- Male
- Prognosis
- Retrospective Studies
Citations
This article has been cited 3 times.- Troillet A, Scharner D. Case report: Incomplete bypass ileocolostomy without partial typhlectomy in five horses with acute, non-reducible cecocolic intussusceptions and review of literature. Front Vet Sci 2024;11:1450395.
- Grzeskowiak RM, Barrett EJ, Rodgerson DH. Cecal entrapment within the epiploic foramen in a mare. Can Vet J 2017 Aug;58(8):842-844.
- Bergman K, Mones R, Matuozzi W. Idiopathic cecocolic intussusception in a 16-year-old boy. Pediatr Surg Int 2009 Sep;25(9):819-21.
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