Complete small colon ablation and fixation of the mesocolon to the internal anal sphincter due to prolapse in a young draft horse
DOI:
https://doi.org/10.52331/cvj.v28i3.58Keywords:
small colon, prolapse, mesocolon, colonic fixation, ablationAbstract
A two-year-old draft stallion was referred for evaluation of a type IV prolapse. A thorough physical examination followed by blood tests was performed to assess the situation. Following the examination, it was concluded that the protruded small colon was devitalised, measured approximately one and a half meters and mesenteric and vascular injury were present. A standing surgery approach was chosen for the present case, in which the affected tissue was excised and the remaining mesentery was ligated to the internal anal sphincter to decrease pressure during straining in the physiological act of defecation. Six months later, after an uneventful recovery, the stallion was in good health and performing its reproductive duties. To our knowledge, this is the first report of a mesenteric fixation to the internal anal sphincter in a horse. The study confirms that this technique is a feasible method that can be used in the complete ablation of the small colon in prolapses.
References
Freeman, D.E. (2019) Rectum and anus. In: Equine Surgery, 5th edn., Eds: J.A. Auer and J.A. Stick, Elsevier, pp 632-645.
Archer, D.C. (2013) Oral and gastrointestinal emergencies. In: Handbook of Equine Emergencies, 1st edn., Ed: D.C. Archer, Elsevier, St Louis. pp 59-84.
Dallap Schaer, B. and Orsini, J.A. (2014) Gastrointestinal system. In: Equine Emergencies: Treatment and Procedures, 4th edn., Eds: J.A. Orsini and T.J. Divers, Elsevier, St Louis. pp 157-237.
Schumacher, J. (2002) Diseases of the small colon and rectum. In: Manual of Equine Gastroenterology, 1st edn., Eds: T. Mair, T. Divers and N. Ducharme, W.B. Saunders, St Louis. pp 299-315.
Turner, T.A. and Fessler, J.F. (1980) Rectal prolapse in the horse. J. Am. Vet. Med. Ass. 177, 1028-1032.
Buschiazzo, C. & Cancela, M. & Simian, M.. (2010). Permanent colostomy after small colon prolapse in a parturient mare. Equine Veterinary Education - EQUINE VET EDUC. 22. 223-227.
Levine SB. Surgical treatment of recurrent rectal prolapse in a horse. J Equine Med Surg. 1978;2:248–249.
Robert MP, Main de Boissiere M, Depecker MC, et al. Type IV rectal prolapse secondary to a long-standing urinary bladder lithiasis in a donkey. Equine Vet Educ. 2016;28:625–626.
Jacobs KA, Barber SM, Leach DH. Disruption of the blood supply to the small colon following rectal prolapse and small colon intussusception in a mare. Can Vet J. 1982 Apr;23(4):132-4.
Shin EJ. Surgical treatment of rectal prolapse. J Korean Soc Coloproctol. 2011;27(1):5-12.
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Copyright (c) 2023 Cristian Mihăiță Crecan, Valeria Ciulu-Angelescu, Alexandru-Florin Lupșan, Denisa Bungărdean, Zsofia Daradics, Mirela Alexandra Tripon, Iancu Adrian Morar, Cosmin Petru Peștean
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