Small intestinal incarceration through the lateral ligament of the urinary bladder in a horse.
Abstract: Small intestinal incarceration through the lateral ligament of the urinary bladder was diagnosed in a 14-year-old, 569-kg, castrated Quarter Horse. The incarceration was corrected by ventral midline celiotomy. Approximately 70 cm of the middle portion of the jejunum was resected and end-to-end, single-layer anastomosis was performed. After surgery, the horse developed signs of adynamic ileus and lameness in the right forelimb. The horse developed laminitis in all 4 feet within 24 hours of surgery. The horse was euthanatized because of poor prognosis for survival. At necropsy, a 4.5-cm rent was found in the left lateral ligament of the urinary bladder. The cause of the rent in the ligament of this horse was not determined.
Publication Date: 1993-01-01 PubMed ID: 8380570
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Summary
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This research paper details a rare and fatal case of small intestinal incarceration through the lateral ligament of the urinary bladder in a horse. The horse, despite undergoing surgery to rectify the issue, eventually had to be euthanized due to poor survival prognosis.
Introduction
- The article presents a clinical case where a 14-year-old, castrated Quarter Horse suffered from a unique event of small intestinal incarceration through the lateral ligament of the urinary bladder.
Diagnosis and Treatment
- Upon diagnosis, a surgical procedure, specifically a ventral midline celiotomy, was performed to correct the problem.
- Approximately 70 cm of the middle part of the jejunum (a section of the small intestine) was taken out during the procedure.
- An end-to-end, single-layer anastomosis was carried out to connect the remaining sections of the jejunum. This adaptative procedure is done to restore the continuity of the jejunum.
Post-operative Complications
- After the surgery, the horse presented signs of adynamic ileus – a disorder where the intestine does not function properly, causing issues to the normal passage of food and fluids.
- The horse also showed signs of lameness in its right forelimb.
- Within 24 hours of surgery, the horse developed laminitis in all four feet. Laminitis is a painful and serious disease that affects the feet of horses and can lead to incapacitating lameness.
Outcome and Euthanasia
- Due to severe complications and visibly poor prognosis for survival, the decision of euthanizing the horse was made.
- Euthanasia is the act of intentionally causing the death of an animal to free it from pain or suffering when no viable treatment options are available.
Necropsy findings
- Post-mortem examination (necropsy) revealed a 4.5 cm rent (tear) in the left lateral ligament of the urinary bladder.
- The cause of this tear was, however, undetermined by the conducting veterinarians.
Cite This Article
APA
Hawkins JF, Schumacher JS, McClure SR, Light GS.
(1993).
Small intestinal incarceration through the lateral ligament of the urinary bladder in a horse.
J Am Vet Med Assoc, 202(1), 89-90.
Publication
Researcher Affiliations
- Department of Large Animal Medicine and Surgery, College of Veterinary Medicine, Texas A&M University, College Station 77843-4475.
MeSH Terms
- Animals
- Foot Diseases / etiology
- Foot Diseases / veterinary
- Hernia / veterinary
- Herniorrhaphy
- Hoof and Claw
- Horse Diseases / etiology
- Horse Diseases / surgery
- Horses
- Intestinal Obstruction / etiology
- Intestinal Obstruction / veterinary
- Jejunal Diseases / surgery
- Jejunal Diseases / veterinary
- Lameness, Animal / etiology
- Ligaments / injuries
- Ligaments / pathology
- Male
- Peripheral Nervous System Diseases / etiology
- Peripheral Nervous System Diseases / veterinary
- Postoperative Complications / veterinary
- Radial Nerve
- Rupture
- Urinary Bladder
Citations
This article has been cited 2 times.- Salcedo R, Gomez DE, Krueger E, Koenig J. Incarceration of the small intestine through a rent in the ileocecal fold in a horse. Can Vet J 2019 May;60(5):477-479.
- Hélie P, Ammann VJ, Kervern I. Jejunoileal incarceration and strangulation through a splenic defect in a mare. Can Vet J 1999 Sep;40(9):657-8.
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