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Peer-reviewed veterinary case report

Jejunum blockage from lipoma in young Arabian horse with colic

By Vidović, Aleksandar et al.·Published in Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere·2019·Pferdeklinik St. Georg.·View original on PubMed

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Original publication title: [Intramural jejunal lipoma in the small intestine of a young Arabian horse causing invagination of the jejunum].

Species:
horse

Plain-English summary

A 2-year-old Arabian horse was brought in with severe colic symptoms, which are signs of intense abdominal pain. During surgery, the vet found a blockage in the small intestine caused by a large mass, identified as an intramural lipoma (a type of fatty tumor). The affected section of the intestine was removed, and the horse underwent a surgical connection of the remaining parts. After the surgery, the horse recovered well and was free of colic symptoms six months later.

People also search for: horse colic symptoms · Arabian horse intestinal blockage · lipoma in horse treatment

Abstract

A 2-year-old Arabian horse was presented with severe colic symptoms. During explorative laparotomy, a jejuno-jejunal invagination secondary to a submucosal intestinal mass was detected. The involved jejunal segment was surgically removed and an end-to-end anastomosis was created. Opening the specimen demonstrated the presence of a nodular mass on the head of the intussusceptum, measuring 10 cm in diameter, and almost completely obliterating the intestinal lumen. Additionally, a severe hyperemia of the jejunal mucosa was visible. Histological examination, which revealed a well-demarcated mass in the submucosa of the jejunum consisting of well-differentiated adipocytes, led to the diagnosis of an intramural lipoma. The small intestinal mucosa displayed mild to moderate signs of congestion. Pedunculated lipomas in the mesentery of horses causing intestinal volvulus and obstruction are a frequent cause of small-intestine strangulation in aged horses. To the authors' knowledge, intramural intestinal lipomas to date have not been described in the horse. The mare recovered without complications and was free of colic symptoms after 6 months.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/30808031/