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Peer-reviewed veterinary case report

Obstruction of the small colon by intramural haematoma in three horses.

Journal:
Australian veterinary journal
Year:
1981
Authors:
Speirs, V C et al.
Species:
horse

Plain-English summary

Three horses were diagnosed with a condition called intramural hematoma, which is a collection of blood inside the wall of the small colon that blocked the passage of waste and gas. All three horses showed signs of shock and had severe belly pain. When veterinarians performed surgery, they found the hematomas and discovered that one horse had a serious infection that led to its death, while another had a surgical complication but survived after part of its intestine was removed. Unfortunately, the third horse did not recover after surgery, and the exact cause of its condition was not determined.

Abstract

Three cases of intramural haematoma of the small colon of horses are presented. In all cases the haematoma obstructed the lumen and caused an accumulation of faeces and gas. The horses were in shock and had acute abdominal pain. Exploratory abdominal surgery revealed the haematomas and showed them to be associated with chronic infection and terminal rupture in one animal which was subsequently killed, and an iatrogenic perforation of the terminal small colon in another which survived after intestinal resection. In the remaining horse, which died without recovering after intestinal resection, no cause was found.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/7259651/