Surgical Treatment of an Abdominal Abscess Caused by a Migrating Iron Wire From the Ventral Colon, a Case Report

Pilati, Nicola; Corsalini, Jacopo; Beccati, Francesca; Nannarone, Sara; Gialletti, Rodolfo

doi:10.1016/j.jevs.2016.11.015

Cited by 3 publications

(9 citation statements)

References 11 publications

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“…The good prognosis for these cases is in contrast to previous reports (Saulez et al 2009;Lohmann et al 2010;Rosso et al 2012;Marley et al 2018). Wire foreign bodies have the potential to penetrate the gastrointestinal tract and cause secondary complications (Dobson and Lopez 1981;Davies 1983;Bell et al 2007;Saulez et al 2009;Lohmann et al 2010;Monteiro et al 2011;Lohmann 2012;Rosso et al 2012;Pilati et al 2017;Marley et al 2018;Randleff-Rasmussen and Gray 2018). Penetration of the gastrointestinal tract can lead to foreign body migration through body cavities and interference with surrounding vital structures (Saulez et al 2009;Monteiro et al 2011;Rosso et al 2012;Marley et al 2018; Randleff-Rasmussen and Gray 2018).…”

Section: Discussionmentioning

confidence: 79%

“…However, young horses may be less discriminating and therefore more likely to pick up foreign bodies (Rakestraw and Hardy 2012). Metallic foreign bodies affecting the mouth, pharynx, cranial cervical region, gastrointestinal tract and abdominal viscera have also been described in horses (Dobson and Lopez 1981;Kiper et al 1992;Pusterla et al 2006;Bell et al 2007;Saulez et al 2009;Lohmann et al 2010;Rosso et al 2012;Pilati et al 2017;Randleff-Rasmussen and Gray 2018).…”

Section: Discussionmentioning

confidence: 99%

“…Specific surgical planning was not possible in these cases because we were unaware of the true nature of the intestinal accident preoperatively. In any case, the intra-abdominal findings can vary greatly in cases of intestinal perforation (Dobson and Lopez 1981;Davies 1983;Bell et al 2007;Saulez et al 2009;Lohmann et al 2010;Monteiro et al 2011;Lohmann 2012;Rosso et al 2012;Pilati et al 2017;Marley et al 2018;Randleff-Rasmussen and Gray 2018). Diagnostic tests such as abdominocentesis, where possible, may assist with preoperative planning and prognostication (Marshall and Blikslager 2012).…”

Section: Discussionmentioning

confidence: 99%

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Successful treatment of two horses after perforation of the small intestine by fine wire

Crosby

Wise

Hilbert

2019

Equine Veterinary Education

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This paper describes the successful surgical management of two horses with fine wire penetration of the small intestine. Exploratory laparotomy in Case 1 revealed an adhesion between adjacent loops of jejunum. Dissection of the adhesion revealed a small length of fine wire. In Case 2, exploratory laparotomy revealed a dense adhesion between the jejunum and the ventral abdominal wall. Dissection of the adhesion also revealed fine wire extending from the jejunum. Neither case required intestinal resection, and both horses made uncomplicated recoveries from the surgical procedures and were discharged 5 days after surgery.

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Section: Discussionmentioning

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Successful treatment of two horses after perforation of the small intestine by fine wire

Crosby

Wise

Hilbert

2019

Equine Veterinary Education

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“…The present report concerns a 14-month-old filly presenting suppurative splenitis. Other reports of the same disorder referred to a 3-year-old pony (33), a 6-year-old mare (32), an 8-year-old gelding (31), and other horses older than 9-year-old (7,8,19,24,25,33), showing that suppurative splenitis is more prevalent in aged horses than in foals. Gender and breed do not seem to interfere with the development of the disease (7,8,19,24,25,31,32,33).…”

Section: Discussionmentioning

confidence: 94%

“…Suppurative splenitis of multiple etiologies are rarely reported in humans (3,5,10,13,20,21), dogs (1,15,30), and cattle (22). In horses, the few cases of splenic abscess were associated with hematogenous spread of bacterial emboli (6,28); perforation by metallic foreign bodies from the intestine (4,7,19,24,25,33); perforation by Gasterophilus intestinalis (8) and Habronema spp. (14) larvae from stomach ulcers; erratic migration of Strongylus spp.…”

Section: Introductionmentioning

confidence: 99%

Suppurative splenitis in a filly

Daneze¹,

Montello-Neto²,

Moraes³

et al. 2018

BJVP

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Splenic abscess is an uncommon condition in humans and animals. The present report describes a rare case of suppurative splenitis in a 14-month-old filly, presented with signs of mild colic, depression and hyporexia. After clinical and laboratorial evaluation, a suppurative process of undetermined location was suspected. Medical therapy and supportive care were initiated, general condition has degraded in few days, and a paracentesis was performed diagnosing peritonitis. Given the poor prognosis, euthanasia was elected. At necropsy, multiple splenic abscess and diffuse peritonitis were identified. The etiology was not determined.

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Use of serum amyloid A in equine medicine and surgery

Jacobsen

2022

Veterinary Clinical Pathol

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Serum amyloid A (SAA) has become an indispensable part of the management of equine patients in general practice and specialized hospital settings. Although several proteins possess acute phase properties in horses, the usefulness of SAA exceeds that of other acute phase proteins. This is due to the highly desirable kinetics of the equine SAA response. SAA concentrations exhibit a rapid and pronounced increase in response to inflammation and a rapid decline after the resolution of inflammation. This facilitates the detection of inflammatory disease and real‐time monitoring of inflammatory activity. SAA may be used in all stages of patient management: (1) before diagnosis (to rule in/rule out inflammatory disease), (2) at the time of diagnosis (to assess the severity of inflammation and assist in prognostication), and (3) after diagnosis (to monitor changes in inflammatory activity in response to therapy, with relapse of disease, or with infectious/inflammatory complications). By assessing other acute phase reactants in addition to SAA, clinicians can succinctly stage inflammation. White blood cell counts and serum iron concentration change within hours of an inflammatory insult, SAA within a day, and fibrinogen within 2–3 days; the interrelationship of these markers thus indicates the duration and activity of the inflammatory condition. Much research on the equine SAA response and clinical use has been conducted in the last decade. This is the prerequisite for the evidence‐based use of this analyte. However, still today, most published studies involve a fairly low number of horses. To obtain solid evidence for use of SAA, future studies should be designed with larger sample sizes.

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Surgical Treatment of an Abdominal Abscess Caused by a Migrating Iron Wire From the Ventral Colon, a Case Report

Cited by 3 publications

References 11 publications

Successful treatment of two horses after perforation of the small intestine by fine wire

Successful treatment of two horses after perforation of the small intestine by fine wire

Suppurative splenitis in a filly

Use of serum amyloid A in equine medicine and surgery

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