Journal of Veterinary Clinics (한국임상수의학회지)

The Korean Society of Veterinary Clinics (한국임상수의학회)
권호 표지
DOI QR코드

DOI QR Code

Strangulating Large Colon Volvulus: A Diagnostic and Surgical Challenge in a Post-Partum Thoroughbred Mare

  • Jungho, Yoon (Equine Clinic, Jeju Stud Farm, Korea Racing Authority) ;
  • Youngjong, Kim (Equine Clinic, Jeju Stud Farm, Korea Racing Authority) ;
  • Jongyoung, Park (Equine Clinic, Jeju Stud Farm, Korea Racing Authority) ;
  • In-Soo, Choi (Department of Infectious Diseases, College of Veterinary Medicine, Konkuk University) ;
  • Peter Colket, Rakestraw (Equine Clinic, Jeju Stud Farm, Korea Racing Authority) ;
  • Ahram, Kim (Equine Clinic, Jeju Stud Farm, Korea Racing Authority)
  • Received : 2022.11.01
  • Accepted : 2022.12.12
  • Published : 2022.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

An 11-year-old thoroughbred post-partum broodmare presented with the symptoms of colic. The physical and clinical examinations indicated a large colon displacement or volvulus. Immediate surgical intervention was performed, and a strangulating large colon volvulus (LCV) was defined as a volvulus of >540° in the counterclockwise direction. After correcting and assessing the gut viability, approximately 80% of the entire large colon was resected and anastomosed using an end-to-end technique. With supportive care after surgery, the horse regained its appetite and vitality without significant clinical complications and was discharged on postoperative day 9. This report presents the first surgical correction using a large colon resection and anastomosis (LCRA) and the critical care for a strangulating LCV in a horse in Korea. This case enhances the current knowledge of clinical LCV and the related considerations for treatment.

Keywords

References

  1. Arighi M, Ducharme NG, Horney FD, Livesey MA. Extension large colon resection in 12 horses. Can Vet J 1987; 28: 245-248. 
  2. Bertone AL, Stashak TS, Sullins KE, Ralston SL. Experimental large colon resection at the cecocolic ligament in the horse. Vet Surg 1987; 16: 5-12.  https://doi.org/10.1111/j.1532-950X.1987.tb00906.x
  3. Bertone AL, Stashak TS, Sullins KE. Large colon resection and anastomosis in horses. J Am Vet Med Assoc 1986; 188: 612-617. 
  4. Driscoll N, Baia P, Fischer AT, Brauer T, Klohnen A. Large colon resection and anastomosis in horses: 52 cases (1996-2006). Equine Vet J 2008; 40: 342-347.  https://doi.org/10.2746/042516408X293529
  5. Ellis CM, Lynch TM, Slone DE, Hughes FE, Clark CK. Survival and complications after large colon resection and end-to-end anastomosis for strangulating large colon volvulus in seventy-three horses. Vet Surg 2008; 37: 786-790.  https://doi.org/10.1111/j.1532-950X.2008.00449.x
  6. Fiege JK, Hackett ES, Rao S, Gillette SC, Southwood LL. Current treatment of ascending colon volvulus in horses: a survey of ACVS Diplomates. Vet Surg 2015; 44: 398-401.  https://doi.org/10.1111/j.1532-950X.2014.12195.x
  7. Gonzalez LM, Fogle CA, Baker WT, Hughes FE, Law JM, Motsinger-Reif AA, et al. Operative factors associated with short-term outcome in horses with large colon volvulus: 47 cases from 2006 to 2013. Equine Vet J 2015; 47: 279-284.  https://doi.org/10.1111/evj.12273
  8. Hackett ES, Embertson RM, Hopper SA, Woodie JB, Ruggles AJ. Duration of disease influences survival to discharge of Thoroughbred mares with surgically treated large colon volvulus. Equine Vet J 2015; 47: 650-654.  https://doi.org/10.1111/evj.12358
  9. Harrison IW. Equine large intestinal volvulus. A review of 124 cases. Vet Surg 1988; 17: 77-81.  https://doi.org/10.1111/j.1532-950X.1988.tb00281.x
  10. Hughes FE, Slone DE. A modified technique for extensive large colon resection and anastomosis in horses. Vet Surg 1998; 27: 127-131.  https://doi.org/10.1111/j.1532-950X.1998.tb00108.x
  11. Hughes FE, Slone DE Jr. Large colon resection. Vet Clin North Am Equine Pract 1997; 13: 341-350.  https://doi.org/10.1016/S0749-0739(17)30243-2
  12. Hardy J. Large colon enterotomy, resection, and anastomosis. In: Blikslager AT, White II NA, Moore JN, Mair TS, editors. The equine acute abdomen. 3rd ed. Hoboken: John Wiley & Sons. 2017: 597-603. 
  13. Edwards GB. Gastroenterology 1. colic. In: Mair TS, Love S, Schumacher J, Smith RKW, Frazer GS, editors. Equine medicine, surgery and reproduction. 2nd ed. Edinburgh: WB Saunders. 2012: 21-47. 
  14. Orr KE, Baker WT, Lynch TM, Hughes FE, Clark CK, Slone DE Jr, et al. Prognostic value of colonic and peripheral venous lactate measurements in horses with large colon volvulus. Vet Surg 2020; 49: 472-479.  https://doi.org/10.1111/vsu.13361
  15. Pezzanite LM, Hackett ES. Technique-associated outcomes in horses following large colon resection. Vet Surg 2017; 46: 1061-1067.  https://doi.org/10.1111/vsu.12725
  16. Pye J, Espinosa-Mur P, Roca R, Kilcoyne I, Nieto J, Dechant J. Preoperative factors associated with resection and anastomosis in horses presenting with strangulating lesions of the small intestine. Vet Surg 2019; 48: 786-794.  https://doi.org/10.1111/vsu.13184
  17. Rose PL, Bradley WM. Resection and anastomosis for treatment of strangulating volvulus of the large colon of horses. J Am Vet Med Assoc 1992; 201: 454-457. 
  18. Santschi EM. Colic and pregnant mares. In: Blikslager AT, White II NA, Moore JN, Mair TS, editors. The equine acute abdomen. 3rd ed. Hoboken: John Wiley & Sons. 2017: 819-830. 
  19. Sullins KE, Stashak TS. Evaluation of two techniques for large intestinal resection and anastomosis in the horse. J Invest Surg 1989; 2: 115-124.   https://doi.org/10.3109/08941938909015343