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Peer-reviewed veterinary case report

Miniature horse with high calcium treated with ethanol ablation

By Colmer, Sarah F et al.·Published in Journal of veterinary internal medicine·2022·Department of Clinical Studies, United States·View original on PubMed

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Original publication title: Treatment of primary hyperparathyroidism in a Miniature Horse using chemical ablation of abnormal parathyroid tissue localized by 3-phase computed tomography.

Species:
horse

Plain-English summary

A 15-year-old Miniature Horse mare was brought in because she had high levels of calcium in her blood, which suggested primary hyperparathyroidism. The vet used imaging tests to find an enlarged parathyroid gland and then performed a new treatment called percutaneous ultrasound-guided ethanol ablation to destroy the abnormal tissue. This procedure was done under anesthesia and successfully lowered her calcium levels back to normal. This treatment could be a good option for some horses with this condition instead of traditional surgery.

People also search for: Miniature Horse high calcium treatment · primary hyperparathyroidism in horses · horse parathyroid gland ablation

Abstract

A 15-year-old Miniature Horse mare with persistently increased plasma calcium (total and ionized) and serum parathyroid hormone concentrations was presented for suspected primary hyperparathyroidism. Ultrasonography of the thyroid region identified an enlarged heterogeneous mass axial to the right thyroid lobe suggestive of an enlarged parathyroid gland, which was further confirmed using sestamibi nuclear scintigraphy and 3-phase computed tomography. Percutaneous ultrasound-guided ethanol ablation of the mass, a method not previously described in the horse, was performed under general anesthesia resulting in rapid normalization of plasma ionized calcium and serum parathyroid hormone concentrations. Ablation of abnormal parathyroid gland tissue may be a suitable alternative to surgical resection in certain cases of primary hyperparathyroidism in the horse.

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Original publication on PubMed: https://pubmed.ncbi.nlm.nih.gov/35150016/