Assessment of peritonitis in the complicated post partum mare

Infertility in a mare with a chronic uterine tear, diagnosis and successful standing hand‐assisted laparoscopic repair

“…The lesion was first identified by hysteroscopy and confirmed with the use of laparoscopy. This confirms that when endoscopy, ultrasonography and laparoscopy are used in conjunction, they afford the clinician a comprehensive set of images to make an accurate diagnosis (Ragle 2006).…”

“…Definitive diagnosis based solely on clinical signs is therefore difficult due to the nature and position of some uterine tears. Rectal and intrauterine palpation (Mogg et al 2006) in combination with ultrasonography, hysteroscopy and abdominocentesis (Ragle 2006) have been the most common diagnostic tools employed. However, more advanced techniques such as laparoscopy have been used to make a definitive diagnosis (Hassel and Ragle 1994).…”

Evaluation of peritoneal l‐lactate concentration in horses in the early post‐partum period

“…Repeat abdominocentesis showing a further increase in peritoneal fluid lactate concentration would support the diagnosis of visceral ischaemia in post‐partum patients showing signs of abdominal discomfort (Tennent‐Brown, 2014 ). The findings of this study are in agreement with the results from a previous study on peritoneal fluid composition in post‐partum mares, which concluded that mild increased concentration of one single peritoneal fluid parameter might be incidental and a variation of normal (Frazer et al., 1997 ; Ragle, 2006 ).…”

“…Therefore, values between 2 and 2.5 mmol/L may still be considered normal, and it is plausible that this finding in these otherwise healthy mares may be incidental. It is essential to appreciate that peritoneal fluid lactate measurements must be interpreted in light eter might be incidental and a variation of normal (Frazer et al, 1997;Ragle, 2006).…”