Extensive resection and anastomosis of the descending (small) colon in a mare following strangulation by a mesenteric lipoma.
A 17-year-old Quarter Horse, Arabian crossbred mare presented with a history of having had abdominal pain for 2 d. At surgery there was 2.6 m of descending colon strangulated within the pedicle of a mesenteric lipoma. The lipoma was resected and the descending colon appeared viable so was replaced, and the mare recovered from anaesthesia. Post-operatively, the mare failed to stabilise so was taken back to surgery. There was 2 m of infarcted descending colon which was resected and anastomosed. A drain and stainless steel stay sutures were incorporated into the ventral suture line. Post-operatively the ventral wound became infected but was resolved with therapy. The diagnosis, surgical and post-operative management and outcome are discussed.
Dart
A J
AJ
Veterinary Medical Teaching Hospital, University of California, Davis 95616.
Snyder
J R
JR
Pascoe
J R
JR
D000714:Anastomosis, Surgical / Q000662:veterinary; D000818:Animals; D003085:Colic / Q000209:etiology / Q000662:veterinary; D003106:Colon / Q000601:surgery; D003108:Colonic Diseases / Q000209:etiology / Q000601:surgery / Q000662:veterinary*; D005260:Female; D006734:Horse Diseases / Q000209:etiology / Q000601:surgery*; D006736:Horses; D007415:Intestinal Obstruction / Q000209:etiology / Q000601:surgery / Q000662:veterinary*; D008067:Lipoma / Q000150:complications / Q000662:veterinary*; D008643:Mesentery; D010534:Peritoneal Neoplasms / Q000150:complications / Q000662:veterinary*