Summary This reports discusses a perforating metallic wire that was suspected of causing chronic weight loss, inappetance and pyrexia in a 15‐year‐old Standardbred gelding, due to the fact that during the previous 18 months, 6 horses coming from the same yard were referred for recurrent or acute colic related to the ingestion of metallic wires. Splenomegaly was detected ultrasonographically and confirmed during surgery. During necropsy, 2 metallic wires 0.2 mm in diameter and 3–4 cm long were found in a markedly enlarged spleen with several nonencapsulated abscesses. Metallic wire perforation and migration through the lower alimentary tract may involve different abdominal quadrants (intestine, abdominal wall, spleen, liver) and lead to different clinical syndromes as acute or recurrent colic and weight loss. A clinical diagnosis is challenging as the clinical signs are often nonspecific and prognosis is generally considered poor.
Summary A 16‐year‐old Italian Saddle Horse gelding was referred for treatment of an incisional hernia that developed 7 months after a ventral midline laparotomy for treatment of acute abdominal pain. Physical examination revealed a hernia approximately 20 cm long and 15 cm wide on the ventral aspect of the abdomen. Ultrasonography revealed the dimensions of the hernia ring to be approximately 15 cm in length and 10 cm in width. A single‐port laparoscopic incisional hernia repair using an operating 0° laparoscope was performed with an appropriately sized (24 × 18 cm) piece of mesh fixed in place with simple interrupted transabdominal sutures. At 4 weeks post operatively, follow‐up physical examination and ultrasonography confirmed healing of the surgical site with no evidence of hernia recurrence. The same evaluation was done 6 months post operatively, and the horse returned to its previous level of activity 8 months post operatively. In horses, laparoscopic application of mesh should be considered among the treatment options for incisional hernia. In the present case, this technique was performed with a single port using an operative laparoscope, in contrast to the multiportal techniques reported previously. The case presented here demonstrates that single‐port laparoscopic herniorrhaphy is feasible, and allows proper placement of an expanded polytetrafluoroethylene intraperitoneal mesh in horses
Summary During a laparotomy for colic signs in a 2‐year‐old male Thoroughbred, a portion of approximately 7 m of the jejunum was found entrapped in a fibrous band originating from the nephrosplenic ligament. The entrapped jejunum was necrotic and was removed. Two months after the first surgery, a laparoscopy was performed to close the nephrosplenic space and it was possible to identify several fibrous bands bridging from the renal capsule to the splenic capsule and a fibrotic plate over the spleen. This is the first report of a strangulating obstruction of the jejunum in the nephrosplenic space and of fibrous bands bridging from the nephrosplenic ligament to the spleen. The fibrous bands were likely due to inflammation caused by previous, multiple left dorsal displacements of the bowel, which resolved spontaneously.
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