Surgical removal of a gastric trichophytobezoar in a foal.
Abstract: This report describes a rare case of gastric impaction caused by a trichophytobezoar in a foal. This case highlights the difficulty in diagnosing this condition and reports surgical removal via a gastrotomy after failure of medical treatment. Ablation chirurgicale d’un trichophytobézoar gastrique chez un poulain. Ce rapport décrit un rare cas d’obstruction gastrique causé par un trichophytobézoar chez un poulain. Ce cas souligne la difficulté à diagnostiquer cette affection et fait rapport sur l’ablation chirurgicale lors d’une gastrotomie après l’échec du traitement médical.(Traduit par Isabelle Vallières).
Publication Date: 2017-09-08 PubMed ID: 28878415PubMed Central: PMC5556482
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Summary
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The article discusses a unique case where a young horse (foal) experienced stomach blockage due to trichophytobezoar (a mass formed from undigested material), which was challenging to diagnose and finally removed through surgery after medical treatments failed.
Case Description
- The paper presents a rare case of a foal suffering from gastric impaction, a condition where the stomach is blocked, unable to evacuate its contents. The blockage in this case was caused by a trichophytobezoar, a type of bezoar or mass formed from undigested material – in this case, strands of hairs.
Difficulty in Diagnosis
- The study emphasizes the challenges faced in diagnifying this condition. Gastric impaction due to trichophytobezoar can be hard to identify because the symptoms can be nonspecific and varied, potentially leading to inaccurate diagnoses and ineffective treatment. For instance, a foal suffering from this condition may show signs of digestive upset like bloating, loss of appetite, or recurrent colic which are common symptoms for a variety of other ailments as well.
Medical Treatment and Surgery
- Initial attempts were made to treat the foal’s condition medically. However, the medical treatments failed, suggesting that in some incidences, treatments like medication, diet changes, or other noninvasive methods may not be enough to resolve the gastric impaction.
- Due to the failure of medical treatment, a decision was taken to surgically remove the trichophytobezoar. The surgical approach mentioned in the paper was a gastrotomy, a surgical procedure in which the stomach is cut open to remove the bezoar.
Key Takeaways
- This study underscores the difficulty in diagnosing conditions like gastric impaction due to trichophytobezoar in a foal, demonstrating how it can be obscured by common, nonspecific symptoms.
- It also draws attention to the fact that medical treatments may not always be effective in certain scenarios, necessitating surgical intervention for successful treatment. Furthermore, diseases like these point out the need for advanced diagnostic tools and techniques in veterinary medicine.
Cite This Article
APA
Manneveau GB, Robert MP, Tessier C, Bizon-Mercier C.
(2017).
Surgical removal of a gastric trichophytobezoar in a foal.
Can Vet J, 58(9), 926-930.
Publication
Researcher Affiliations
- Department of Surgery, Equine Clinic, ONIRIS, National College of Veterinary Medicine, Food Science and Engineering, Atlanpôle-La Chantrerie, 44300, Nantes Cedex, France.
- Department of Surgery, Equine Clinic, ONIRIS, National College of Veterinary Medicine, Food Science and Engineering, Atlanpôle-La Chantrerie, 44300, Nantes Cedex, France.
- Department of Surgery, Equine Clinic, ONIRIS, National College of Veterinary Medicine, Food Science and Engineering, Atlanpôle-La Chantrerie, 44300, Nantes Cedex, France.
- Department of Surgery, Equine Clinic, ONIRIS, National College of Veterinary Medicine, Food Science and Engineering, Atlanpôle-La Chantrerie, 44300, Nantes Cedex, France.
MeSH Terms
- Animals
- Bezoars / surgery
- Horses
- Stomach / pathology
- Stomach / surgery
References
This article includes 22 references
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