DOI QR코드

DOI QR Code

Large Mesenteric Pedunculated Lipoma in a Horse

  • Seokho Son (College of Veterinary Medicine and Veterinary Medical Research Institute, Jeju National University) ;
  • Seyoung Lee (College of Veterinary Medicine and Veterinary Medical Research Institute, Jeju National University) ;
  • Eun-bee Lee (College of Veterinary Medicine and Veterinary Medical Research Institute, Jeju National University) ;
  • Kyung-won Park (College of Veterinary Medicine and Veterinary Medical Research Institute, Jeju National University) ;
  • Ji-Youl Jung (College of Veterinary Medicine and Veterinary Medical Research Institute, Jeju National University) ;
  • Jae-Hoon Kim (College of Veterinary Medicine and Veterinary Medical Research Institute, Jeju National University) ;
  • Hyohoon Jeong (College of Veterinary Medicine and Veterinary Medical Research Institute, Jeju National University) ;
  • Jong-pil Seo (College of Veterinary Medicine and Veterinary Medical Research Institute, Jeju National University)
  • Received : 2023.09.06
  • Accepted : 2023.11.13
  • Published : 2024.04.30

Abstract

A seven-month pregnant 15-year-old Thoroughbred mare presented with acute abdominal pain to Jeju National University Equine Hospital. At presentation, a nasogastric intubation revealed 10 L of gastric reflux; rectal palpation and ultrasound revealed dilated loops and thickening of the walls of the small intestine. An exploratory laparotomy revealed strangulation of the small intestine due to a large abdominal mass. The mass was double-ligated and resected blindly due to the short pedicle. An enterectomy was not performed as intestinal motility was detected following the mass removal. Histopathological examination confirmed that the mass was a lipoma, measuring 24 cm × 16 cm × 16 cm in size. On day 8 post-surgery, the mare was discharged without complications. This case report describes the diagnosis and treatment of strangulation of the small intestine by a pedunculated lipoma, thus providing useful information on lipoma in horses.

Keywords

References

  1. Abutarbush SM, Carmalt JL, Shoemaker RW. Causes of gastrointestinal colic in horses in western Canada: 604 cases (1992 to 2002). Can Vet J 2005; 46: 800-805. 
  2. Bauck AG, Graham AS, Smith A, Rapp HJ, Freeman DE. Mesenteric strangulation by pedunculated lipomas without involvement of associated intestine in four horses. Equine Vet Educ 2019; 32: e141-e146.  https://doi.org/10.1111/eve.13045
  3. Blikslager AT, Bowman KF, Haven ML, Tate LP Jr, Bristol DG. Pedunculated lipomas as a cause of intestinal obstruction in horses: 17 cases (1983-1990). J Am Vet Med Assoc 1992; 201: 1249-1252.  https://doi.org/10.2460/javma.1992.201.08.1249
  4. Edwards GB, Proudman CJ. An analysis of 75 cases of intestinal obstruction caused by pedunculated lipomas. Equine Vet J 1994; 26: 18-21.  https://doi.org/10.1111/j.2042-3306.1994.tb04324.x
  5. Freeman DE, Schaeffer DJ. Age distributions of horses with strangulation of the small intestine by a lipoma or in the epiploic foramen: 46 cases (1994-2000). J Am Vet Med Assoc 2001; 219: 87-89.  https://doi.org/10.2460/javma.2001.219.87
  6. Garcia-Seco E, Wilson DA, Kramer J, Keegan KG, Branson KR, Johnson PJ, et al. Prevalence and risk factors associated with outcome of surgical removal of pedunculated lipomas in horses: 102 cases (1987-2002). J Am Vet Med Assoc 2005; 226: 1529-1537.  https://doi.org/10.2460/javma.2005.226.1529
  7. Mair TS, Edwards GB. Strangulating obstructions of the small intestine. Equine Vet Educ 2003; 15: 192-199.  https://doi.org/10.1111/j.2042-3292.2003.tb00243.x
  8. Mair TS, Smith LJ. Survival and complication rates in 300 horses undergoing surgical treatment of colic. Part 3: long-term complications and survival. Equine Vet J 2005; 37: 310-314.  https://doi.org/10.2746/0425164054529445
  9. Manso-Diaz G, Lopez-Sanroman FJ, Jimenez J, Ezquerra LJ, Martin-Cuervo M. Ultrasonographic features of pedunculated lipomas in two horses. Equine Vet Educ 2018; 30: 60-63.  https://doi.org/10.1111/eve.12606
  10. Mason TA. Strangulation of the rectum of a horse by the pedicle of a mesenteric lipoma. Equine Vet J 1978; 10: 269. 
  11. Phillips TJ, Walmsley JP. Retrospective analysis of the results of 151 exploratory laparotomies in horses with gastrointestinal disease. Equine Vet J 1993; 25: 427-431.  https://doi.org/10.1111/j.2042-3306.1993.tb02985.x
  12. van der Linden MA, Laffont CM, Sloet van Oldruitenborgh-Oosterbaan MM. Prognosis in equine medical and surgical colic. J Vet Intern Med 2003; 17: 343-348.  https://doi.org/10.1111/j.1939-1676.2003.tb02459.x
  13. Verwilghen D, Hernlund E, Ekman S, Pringle J, Johnston C, van Galen G. A giant nonstrangulating mesenteric lipoma as a cause of recurrent colic in a horse. Equine Vet Educ 2013; 25: 451-455.  https://doi.org/10.1111/eve.12057
  14. Wormstrand BH, Ihler CF, Diesen R, Krontveit RI. Surgical treatment of equine colic - a retrospective study of 297 surgeries in Norway 2005-2011. Acta Vet Scand 2014; 56: 38.