Volvulus of the large colon in a neonatal foal

Research output: Contribution to journalArticle

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Abstract

A one‐day‐old Thoroughbred colt foal was presented for assessment of abdominal pain and reduced urine output. Physical examination of the foal revealed marked abdominal distension, mild tachycardia, tachypnoea and congested mucous membranes. A marked anechoic peritoneal effusion, intestinal hypomotility and mural thickening of the large colon were detected sonographically. Serosanguinous fluid was obtained by abdominocentesis. After haemodynamic stabilisation, the foal underwent general anaesthesia and exploratory laparotomy and a 720° volvulus of the large colon at the sternal and diaphragmatic flexures was identified. After correction of the volvulus, the intraoperative findings were consistent with nonviability of the affected portion of the colon. The owner declined partial colon resection and elected for euthanasia of the foal. Although rare in neonatal foals, large colon volvulus should be considered in foals with signs of abdominal pain, abdominal distension and ultrasonographic findings of colonic mural thickening and luminal distension.
Original languageEnglish
Pages (from-to)306-311
Number of pages6
JournalEquine Veterinary Education
Volume30
Issue number6
DOIs
Publication statusPublished - Mar 2017

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volvulus
Intestinal Volvulus
foals
colon
Colon
Abdominal Pain
pain
Tachypnea
Euthanasia
Ascitic Fluid
colts
Tachycardia
Laparotomy
General Anesthesia
laparotomy
Physical Examination
resection
euthanasia
hemodynamics
Mucous Membrane

Cite this

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title = "Volvulus of the large colon in a neonatal foal",
abstract = "A one‐day‐old Thoroughbred colt foal was presented for assessment of abdominal pain and reduced urine output. Physical examination of the foal revealed marked abdominal distension, mild tachycardia, tachypnoea and congested mucous membranes. A marked anechoic peritoneal effusion, intestinal hypomotility and mural thickening of the large colon were detected sonographically. Serosanguinous fluid was obtained by abdominocentesis. After haemodynamic stabilisation, the foal underwent general anaesthesia and exploratory laparotomy and a 720° volvulus of the large colon at the sternal and diaphragmatic flexures was identified. After correction of the volvulus, the intraoperative findings were consistent with nonviability of the affected portion of the colon. The owner declined partial colon resection and elected for euthanasia of the foal. Although rare in neonatal foals, large colon volvulus should be considered in foals with signs of abdominal pain, abdominal distension and ultrasonographic findings of colonic mural thickening and luminal distension.",
author = "{Du Preez}, Surita and Gareth Trope and Christopher Owens and Kristopher Hughes",
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Volvulus of the large colon in a neonatal foal. / Du Preez, Surita; Trope, Gareth; Owens, Christopher; Hughes, Kristopher.

In: Equine Veterinary Education, Vol. 30, No. 6, 03.2017, p. 306-311.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Volvulus of the large colon in a neonatal foal

AU - Du Preez, Surita

AU - Trope, Gareth

AU - Owens, Christopher

AU - Hughes, Kristopher

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AB - A one‐day‐old Thoroughbred colt foal was presented for assessment of abdominal pain and reduced urine output. Physical examination of the foal revealed marked abdominal distension, mild tachycardia, tachypnoea and congested mucous membranes. A marked anechoic peritoneal effusion, intestinal hypomotility and mural thickening of the large colon were detected sonographically. Serosanguinous fluid was obtained by abdominocentesis. After haemodynamic stabilisation, the foal underwent general anaesthesia and exploratory laparotomy and a 720° volvulus of the large colon at the sternal and diaphragmatic flexures was identified. After correction of the volvulus, the intraoperative findings were consistent with nonviability of the affected portion of the colon. The owner declined partial colon resection and elected for euthanasia of the foal. Although rare in neonatal foals, large colon volvulus should be considered in foals with signs of abdominal pain, abdominal distension and ultrasonographic findings of colonic mural thickening and luminal distension.

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