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Peritonitis in horses: 67 cases (1985-1990).

Abstract: Peritonitis was diagnosed in 67 horses between 1985 and 1990: 14 horses developed septic peritonitis after intestinal rupture, 25 horses developed peritonitis after abdominal surgery, and 28 horses had peritonitis not associated with intestinal rupture or abdominal surgery. Forty of 67 horses (59.7%) did not survive. Nonsurvivors had higher heart rates (P = 0.01), RBC count (P = 0.039), serum creatinine concentration (P = 0.036), PCV (P = 0.007), and anion gap (P = 0.005); lower venous blood pH (P = 0.002); and a greater number of bacterial species cultured from peritoneal fluid samples (P = 0.054), compared with those from survivors. Nonsurvivors were more likely to have signs of abdominal pain (P < 0.000), circulatory shock (P = 0.009), and bacteria in peritoneal fluid samples (P = 0.042). Physical examination and peritoneal fluid analysis were the most valuable diagnostic aids for intestinal rupture. Peritonitis after abdominal surgery resulted in high mortality (56%); peritonitis not associated with intestinal rupture or abdominal surgery had lower mortality (42.9%). Clinical and laboratory indices can be of value in determining the prognosis for horses with peritonitis.
Publication Date: 1993-07-15 PubMed ID: 8407492
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  • Journal Article

Summary

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The study discusses findings from a sample of 67 horses diagnosed with peritonitis over the period of 1985 to 1990, detailing the causes, associated symptoms, diagnostic aids, and mortality rates for each presented case.

General Overview of the Study

  • The study included 67 horses diagnosed with peritonitis between the years 1985 to 1990.
  • Of the total sampled horses, 14 developed septic peritonitis following an intestinal rupture, 25 experienced peritonitis after undergoing abdominal surgery, and in 28 horses peritonitis was not connected to either intestinal rupture or abdominal surgery.
  • Out of the 67 horses, 59.7% did not survive the complications caused by peritonitis.

Comparison Between Survivors and Non-survivors

  • The non-surviving horses demonstrated higher heart rates, RBC count, serum creatinine concentration, PCV, and anion gap. They also had lower venous blood pH and a greater number of bacterial species cultured from their peritoneal fluid samples.
  • The non-surviving horses were also more likely to show signs of abdominal pain, circulatory shock, and in their peritoneal fluid samples, bacteria were found.

Diagnostic and Treatment Related Outcomes

  • Physical examination and analysis of peritoneal fluid were identified as the most valuable diagnostic aids for cases where intestinal rupture had occurred.
  • The study indicated a high mortality rate of 56% for peritonitis after abdominal surgery and a lower mortality rate of 42.9% for peritonitis not associated with intestinal rupture or abdominal surgery.
  • The indications put forth by various clinical and laboratory indices can offer valuable insights when determining the prognosis for horses with peritonitis.

Cite This Article

APA
Hawkins JF, Bowman KF, Roberts MC, Cowen P. (1993). Peritonitis in horses: 67 cases (1985-1990). J Am Vet Med Assoc, 203(2), 284-288.

Publication

ISSN: 0003-1488
NlmUniqueID: 7503067
Country: United States
Language: English
Volume: 203
Issue: 2
Pages: 284-288

Researcher Affiliations

Hawkins, J F
  • Department of Food Animal and Equine Medicine, College of Veterinary Medicine, North Carolina State University, Raleigh 27606.
Bowman, K F
    Roberts, M C
      Cowen, P

        MeSH Terms

        • Animals
        • Female
        • Horse Diseases / etiology
        • Horse Diseases / mortality
        • Horses
        • Intestines / injuries
        • Male
        • Peritonitis / etiology
        • Peritonitis / mortality
        • Peritonitis / veterinary
        • Postoperative Complications / mortality
        • Postoperative Complications / veterinary
        • Prognosis
        • Retrospective Studies
        • Rupture
        • Treatment Outcome

        Citations

        This article has been cited 9 times.
        1. Dória RGS, Reginato GM, Hayasaka YB, Fantinato Neto P, Passarelli D, Arantes JA. Complications following transcutaneous cecal trocarization in horses with a cattle trocar and a cecal needle.. PLoS One 2022;17(11):e0277468.
          doi: 10.1371/journal.pone.0277468pubmed: 36417417google scholar: lookup
        2. Cribb NC, Arroyo LG, Bouré L. Standing laparoscopic abdominal lavage using a suction-irrigation device in 2 horses with primary suppurative peritonitis.. Can Vet J 2021 Apr;62(4):397-402.
          pubmed: 33867554
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          doi: 10.1186/s13028-019-0456-2pubmed: 31023351google scholar: lookup
        4. Hoon-Hanks LL, Rout ED, Vap LM, Aboellail TA, Hassel DM, Nout-Lomas YS. Reactive mesothelial hyperplasia associated with chronic peritonitis in a 20-year-old Quarter horse.. Can Vet J 2016 May;57(5):492-6.
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        5. Haupt J, García-López JM, Chope K. Use of a novel silk mesh for ventral midline hernioplasty in a mare.. BMC Vet Res 2015 Mar 13;11:58.
          doi: 10.1186/s12917-015-0379-8pubmed: 25879822google scholar: lookup
        6. Lores M, Lofstedt J, Martinson S, Riley CB. Septic peritonitis and uroperitoneum secondary to subclinical omphalitis and concurrent necrotizing cystitis in a colt.. Can Vet J 2011 Aug;52(8):888-92.
          pubmed: 22294797
        7. Adams AR, Haines GR, Brown MP, Gronwall R, Merritt K. Pharmacokinetics of difloxacin and its concentration in body fluids and endometrial tissues of mares after repeated intragastric administration.. Can J Vet Res 2005 Jul;69(3):229-35.
          pubmed: 16187554
        8. Haines GR, Brown MP, Gronwall RR, Merritt KA, Baltzley LK. Pharmacokinetics of orbifloxacin and its concentration in body fluids and in endometrial tissues of mares.. Can J Vet Res 2001 Jul;65(3):181-7.
          pubmed: 11480524
        9. Haines GR, Brown MP, Gronwall RR, Merritt KA. Serum concentrations and pharmacokinetics of enrofloxacin after intravenous and intragastric administration to mares.. Can J Vet Res 2000 Jul;64(3):171-7.
          pubmed: 10935883