Congenital intestinal polyp associated with intussusception in a 3-day-old foal

Gold, Jenifer R.; Belgrave, Rodney L.; Haldorson, Gary J.

doi:10.1111/j.2042-3292.2006.tb00427.x

Cited by 2 publications

(3 citation statements)

References 9 publications

(20 reference statements)

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“…; Gold et al . ). In horses, intestinal adenomatous polyps may occur spontaneously or as part of one of several large intestinal inherited syndromes (Patterson‐Kane et al .…”

Section: Discussionmentioning

confidence: 97%

Small intestinal adenomatous polyps resulting in chronic obstruction in a 3‐year‐old Quarter Horse gelding

Younkin

Kim

Lutter

et al. 2018

Equine Veterinary Education

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A 3-year-old, Quarter Horse gelding was admitted to Kansas State University Veterinary Health Center with a primary complaint of colic. The horse had a 3-month history of recurrent colic and progressive weight loss. On physical examination, the horse was quiet, alert and responsive. The horse's mucous membranes were pink and capillary refill time was 2 s. His rectal temperature was 37.6°C (99.6°F), heart rate was 56 beats/ min and respiration rate was 16 breaths/min. Rectal palpation revealed an approximately 5 cm dilated, firm, tubular, mass traversing from left caudal abdomen to mid abdomen. Nasogastric intubation obtained 6 L net reflux. A 5 cm diameter small intestinal intraluminal mass was detected by abdominal ultrasound. Complete blood count, serum chemistry and peritoneal fluid analysis were performed and all results were unremarkable. The horse was humanely euthanised due to pain and financial constraints. Post-mortem examination and histopathology revealed a 15 3 5 3 5 cm polyp with multiple smaller satellite polyps that obstructed the distal duodenum. Colic was considered secondary to small intestinal obstruction and luminal distension caused by the adenomatous polyps. To the authors' knowledge, this is the first report to include ultrasound images of a small intestine adenomatous polyp that caused small intestinal obstruction and colic in a 3-year-old horse.

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“…; Gold et al . ). In horses, intestinal adenomatous polyps may occur spontaneously or as part of one of several large intestinal inherited syndromes (Patterson‐Kane et al .…”

Section: Discussionmentioning

confidence: 97%

Small intestinal adenomatous polyps resulting in chronic obstruction in a 3‐year‐old Quarter Horse gelding

Younkin

Kim

Lutter

et al. 2018

Equine Veterinary Education

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“…This suggests that intussusceptions in horses may occur not only due to hypermotility, but also due to hypomotility. Thus, the predisposition to intussusception in horses may be better defined as intestinal dysmotility rather than simply hypermotility (Gold et al., 2010). Ultrasonography has been reported to be highly specific but poorly sensitive for the diagnosis of intussusceptions (Bernard et al., 1989).…”

Section: Discussionmentioning

confidence: 99%

“…It is believed that intussusceptions are caused by altered motility of the intestine (Cribb et al., 2006; Freeman, 2019). Predisposing factors associated with altered motility include functional (enteritis, diarrhoea, recent general anaesthesia) or mechanical changes creating a leading edge for the intestine to telescope over (ascarid impactions, intramural masses and foreign bodies) (Cribb et al., 2006; Edwards, 1986; Freeman, 2019; Gift et al., 1993; Gold et al., 2010; Lester, 2009). Jejunal intussusception has also been reported as a complication following resection and anastomosis of the SI (Boswell et al., 2010; Frankeny et al., 1995), which may be related to both a motility alteration and a leading edge effect.…”

Section: Introductionmentioning

confidence: 99%

Small intestinal intussusception in horses: Multicentre retrospective report on 26 cases (2009‐2020)

Haddad

Corraretti²,

Simon³

et al. 2021

Equine Veterinary Education

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Background: Intussusception is an infrequent cause of equine colic, most commonly encountered in young horses. This condition occurs due to abnormalities of motility and frequently includes the caecum. Objectives: The purpose of this study was to review the cases of equine small intestinal (SI) intussusception excluding those with caecal involvement. Study design: Case series, analytical retrospective study. Methods: Medical records of all horses that had SI intussusception, not involving the caecum, from three equine clinics between 2009 and 2020 were reviewed. Information obtained included: clinical parameters, surgical or necropsy findings, complications and outcome. The Mann-Whitney U test was used to compare the outcome and complications with various parameters. Fisher's exact test was used to compare short-term survival with categorical variables. Significance was set at p ≤ 0.05. Results: Twenty-six horses met the inclusion criteria. Median age of horses was 9 months (interquartile range 2.8 months-6.5 years). Relevant history included diarrhoea and general anaesthesia. Twenty-two out of 26 horses were diagnosed during surgery and 4 at necropsy. During surgery, 5 horses were subjected to euthanasia, 9 underwent manual reduction and 8 underwent resection and anastomosis. The postoperative complication rate was high at 47% and included ileus, diarrhoea and colic. The prognosis decreased when the involved segment was longer (p = 0.032), lactate levels were higher (p = 0.024) and reflux was present before admission (p = 0.024). Of all horses, 53% survived to discharge and 92% of these survived for >1 year post-operatively (one case was lost to follow-up). Main limitation: The retrospective nature of the study and the low number of cases included. Conclusions: Small intestinal intussusception was diagnosed in horses of a variety of breeds and ages. Alterations of motility can predispose to intussusception, not only due to hypermotility (diarrhoea), but also due to hypomotility (anaesthesia). Prognosis for hospital discharge was fair; however, following hospital discharge, the long-term survival rate is high and complications are rare. Clinical relevance• This study describes the clinical presentation, case details and aetiology of horses suffering from a rare pathology, which could aid clinicians in diagnosing small intestinal intussusceptions more rapidly.• High complication rates after surgical correction of small intestinal intussusceptions should be expected, and those horses should be treated accordingly.• Long-term prognosis found in this study is good, and long-term complications are rare. This fact may help clinicians and owners in decision making.The study was accepted for presentation in part at the ECVS annual scientific meeting 2020.

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Congenital intestinal polyp associated with intussusception in a 3-day-old foal

Cited by 2 publications

References 9 publications

Small intestinal adenomatous polyps resulting in chronic obstruction in a 3‐year‐old Quarter Horse gelding

Small intestinal adenomatous polyps resulting in chronic obstruction in a 3‐year‐old Quarter Horse gelding

Small intestinal intussusception in horses: Multicentre retrospective report on 26 cases (2009‐2020)

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