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Redundant mesocolonic mesentery in a Shire colt.

Abstract: An unusual condition in a 3-month-old Shire colt presented for colic unresponsive to medical therapy is documented in this report. A redundant mesocolonic mesentery resulting in intestinal displacement and volvulus was diagnosed during exploratory celiotomy. The finding was presumed to be congenital, resulting in a loose anatomic configuration that predisposed the intestine to displacement, torsion, volvulus, and entrapment. Key clinical message: This case demonstrates that congenial anatomical anomalies should be included in the differential of younger animals presented for recurrent conditions and highlights the use of exploratory celiotomy to reach a definitive diagnosis. . Un état inhabituel chez un poulain Shire âgé de 3 mois présenté pour colique qui ne répondait pas à un traitement médical est présenté dans ce rapport. Un mésentère mésocolique redondant entraînant un déplacement intestinal et un volvulus a été diagnostiqué au cours d’une céliotomie exploratoire. La découverte était présumée congénitale, entraînant une configuration anatomique lâche qui prédisposait l’intestin au déplacement, à la torsion, au volvulus et au coincement.Message clinique clé:Ce cas démontre que les anomalies anatomiques congéniales doivent être incluses dans le diagnostic différentiel des jeunes animaux présentés pour des conditions récurrentes et met en évidence l’utilisation de la céliotomie exploratoire pour parvenir à un diagnostic définitif.(Traduit par D Serge Messier).
Publication Date: 2021-02-06 PubMed ID: 33542558PubMed Central: PMC7808190
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  • Case Reports

Summary

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The research paper discusses an unusual medical case of a 3-month-old Shire colt dealing with colic, which was discovered to be due to a congenital abnormality called redundant mesocolic mesentery. The study emphasizes the importance of considering congenital anomalies in diagnosis, especially for recurring conditions in young animals.

Case Presentation

  • This report documents the unique medical case of a three-month-old Shire colic horse. The colt was presented with symptoms of colic – severe abdominal discomfort – that proved unresponsive to traditional medical therapies.

Diagnosis

  • Due to the lack of response to medication, an exploratory celiotomy was performed. It is an incision into the abdomen to examine the abdominal cavity. This procedure led to the diagnosis of a congenital condition called “redundant mesocolic mesentery”.
  • This condition resulted in an abnormal displacement of the intestine and the development of volvulus, a condition where the intestine twists around itself.

Origins of the Condition

  • The researchers presumed the redundant mesocolic mesentery was congenital, meaning it was present from birth. This physical anomaly causes a loose anatomical configuration of the horse’s internal organs.
  • Due to this abnormality, the intestine was predisposed to displacement and various other conditions, including twist (torsion), volvulus (intestinal twisting), and entrapment (blockage).

Key Clinical Message

  • The study argues that congenital anatomical anomalies should be included in the differential diagnosis, particularly for younger animals presented with ongoing or recurring conditions.
  • It underscores the informative value of an exploratory celiotomy, suggesting that it can reveal definitive diagnoses that might stay hidden with traditional medical therapies.

This case study offers important insights for veterinary practice, particularly in equine medicine, in terms of diagnosing and managing unusual or challenging cases. It highlights the necessity of thorough investigation and the consideration of different potential causes when treating younger animals with recurrent symptoms.

Cite This Article

APA
Voss JK, Dubois MS. (2021). Redundant mesocolonic mesentery in a Shire colt. Can Vet J, 62(2), 179-183.

Publication

ISSN: 0008-5286
NlmUniqueID: 0004653
Country: Canada
Language: English
Volume: 62
Issue: 2
Pages: 179-183

Researcher Affiliations

Voss, Jana K
  • Ontario Veterinary College, Department of Clinical Studies, University of Guelph, 50 Stone Road East, Guelph, Ontario N1G 2W1.
Dubois, Marie-Soleil
  • Ontario Veterinary College, Department of Clinical Studies, University of Guelph, 50 Stone Road East, Guelph, Ontario N1G 2W1.

MeSH Terms

  • Animals
  • Colic / veterinary
  • Horse Diseases
  • Horses
  • Intestinal Volvulus / surgery
  • Intestinal Volvulus / veterinary
  • Male
  • Mesentery

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