Laparoscopic repair of a small intestinal mesenteric rent in a broodmare.
OBJECTIVE
To describe standing laparoscopic repair of mesoduodenal rent inaccessible by ventral median celiotomy.


METHODS
Clinical case report.


METHODS
A 6-year-old Thoroughbred broodmare with a right displacement of the dorsal colon and small intestinal incarceration in a mesoduodenal rent.


METHODS
Two days after correction of a right dorsal displacement of the ascending colon, small intestinal incarceration, and partial closure of mesoduodenal rent, standing left and right flank laparoscopy was used to explore the abdomen to identify the mesoduodenal defect. The mesenteric rent was repaired from right flank portals by approximation with hemostatic clips.


RESULTS
Approximation of the mesoduodenal rent was achieved with laparoscopic clips. No further complications or signs of abdominal pain occurred over the following year.


CONCLUSIONS
Mesenteric rents in the mesoduodenum can be repaired by laparoscopic techniques in the standing horse.


CONCLUSIONS
Use of laparoscopic techniques in the standing horse should be considered for mesoduodenal rents that are not accessible form a ventral median celiotomy.
Sutter
W Wesley
WW
Department of Veterinary Clinical Sciences, The Ohio State University, 601 Vernon L Tharp, Columbus OH 43210, USA. sutter.38@osu.edu
Hardy
Joanne
J
D000818:Animals; D003937:Diagnosis, Differential; D005260:Female; D006736:Horses / Q000293:injuries* / Q000601:surgery; D007421:Intestine, Small / Q000293:injuries* / Q000601:surgery; D010535:Laparoscopy / Q000662:veterinary; D008643:Mesentery / Q000293:injuries* / Q000601:surgery; D010805:Physical Conditioning, Animal; D012421:Rupture / Q000175:diagnosis / Q000601:surgery / Q000662:veterinary