Peer-reviewed veterinary case report
Extensive resection and anastomosis of the descending (small) colon in a mare following strangulation by a mesenteric lipoma.
- Journal:
- Australian veterinary journal
- Year:
- 1991
- Authors:
- Dart, A J et al.
- Affiliation:
- Veterinary Medical Teaching Hospital · United States
- Species:
- horse
Plain-English summary
A 17-year-old Quarter Horse and Arabian mix mare had been experiencing abdominal pain for two days before she was taken to the vet. During surgery, the vets found that a large section of her descending colon was trapped due to a fatty tumor in her abdomen. They removed the tumor and reattached the colon, but after surgery, her condition didn’t improve, so she had to go back for another operation. In the second surgery, they found that part of the colon had died and had to remove that section as well, then stitched everything back together. Although she developed an infection in her surgical wound afterward, it was treated successfully, and the mare ultimately recovered.
Abstract
A 17-year-old Quarter Horse, Arabian crossbred mare presented with a history of having had abdominal pain for 2 d. At surgery there was 2.6 m of descending colon strangulated within the pedicle of a mesenteric lipoma. The lipoma was resected and the descending colon appeared viable so was replaced, and the mare recovered from anaesthesia. Post-operatively, the mare failed to stabilise so was taken back to surgery. There was 2 m of infarcted descending colon which was resected and anastomosed. A drain and stainless steel stay sutures were incorporated into the ventral suture line. Post-operatively the ventral wound became infected but was resolved with therapy. The diagnosis, surgical and post-operative management and outcome are discussed.
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Search related cases →Original publication: https://pubmed.ncbi.nlm.nih.gov/2025205/