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Peer-reviewed veterinary case report

Idiopathic cecal rupture in foals after anesthesia for gastric endoscopy.

Journal:
Journal of the American Veterinary Medical Association
Year:
1991
Authors:
Edwards, J F & Ruoff, W W
Affiliation:
Department of Veterinary Pathology · United States
Species:
horse

Plain-English summary

In a study involving foals, two out of nineteen experienced a cecal rupture, which is a tear in a part of the intestine, after undergoing anesthesia for a stomach examination. This happened 12 to 24 hours after the procedure, and both foals had ruptures in the same area of their intestines. The foals had been dewormed and had their food and water taken away before the surgery, and the anesthesia was managed carefully. This suggests that even with proper precautions, cecal rupture can still occur in foals after anesthesia for elective surgeries.

Abstract

Cecal rupture has been reported as a complication of tape-worm infestation or parturition in horses. Often it occurs with no apparent predisposing factors. Spontaneous rupture on the medial surface of the cecum occurred in 2 of 19 foals, 12 to 24 hours after gastric endoscopy. The sites of rupture were identical in both foals. Rupture occurred despite prior deworming, withholding of food and water before anesthesia, and care in induction of anesthesia and recovery. Surgeons should be aware of the potential of cecal rupture in horses anesthetized for elective surgery.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/2061162/