Perforation of the gastrointestinal tracts of four horses by metallic wires

Saulez, Montague N.; Burton, Alexandra J.; Steyl, Johan Christian Abraham; Williams, J.H.; Clift, Sarah J.

doi:10.1136/vr.164.3.86

Cited by 19 publications

(33 citation statements)

References 7 publications

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“…1998; Pusterla et al . 2006) but there is less information about the effects of the penetration of the intestine by metallic wires (Dobson and Lopez 1981; Davies 1983; Saulez et al . 2009; Magri et al .…”

Section: Discussionmentioning

confidence: 99%

Splenic abscesses due to migrant metallic wires from small intestine in a horse

Rosso

Bullone

Gillono

et al. 2011

Equine Veterinary Education

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Summary This reports discusses a perforating metallic wire that was suspected of causing chronic weight loss, inappetance and pyrexia in a 15‐year‐old Standardbred gelding, due to the fact that during the previous 18 months, 6 horses coming from the same yard were referred for recurrent or acute colic related to the ingestion of metallic wires. Splenomegaly was detected ultrasonographically and confirmed during surgery. During necropsy, 2 metallic wires 0.2 mm in diameter and 3–4 cm long were found in a markedly enlarged spleen with several nonencapsulated abscesses. Metallic wire perforation and migration through the lower alimentary tract may involve different abdominal quadrants (intestine, abdominal wall, spleen, liver) and lead to different clinical syndromes as acute or recurrent colic and weight loss. A clinical diagnosis is challenging as the clinical signs are often nonspecific and prognosis is generally considered poor.

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Section: Discussionmentioning

confidence: 99%

Splenic abscesses due to migrant metallic wires from small intestine in a horse

Rosso

Bullone

Gillono

et al. 2011

Equine Veterinary Education

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“…), or perforate intestinal walls leading to acute colic, or chronic weight loss and depression (Saulez et al . ; Magri et al . ).…”

Section: Discussionmentioning

confidence: 95%

Metallic foreign body in the ovary of a broodmare

Randleff-Rasmussen¹,

Gray²

2016

Equine Veterinary Education

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Summary A 12‐year‐old Thoroughbred broodmare was presented for laparoscopic removal of an abnormal ovary. Rectal examination and ultrasound revealed firm attachment of the enlarged right ovary to the ventral pelvis and right abdominal wall, and gas accumulation within the right ovary. Laparoscopic examination revealed extensive adhesion formation between the abnormal ovary, ispilateral uterine horn, ventral pelvis and the right abdominal wall. A flank laparotomy was then performed to improve visualisation of the area. Due to contamination of the abdomen during attempts to detach adhesions, the complexity of the structures involved and the poor prognosis for further reproduction, the decision was made to subject the mare to euthanasia. Post‐mortem evaluation revealed a large encapsulated abscess of the right ovary, with a small, linear wire foreign body within the centre of the abscess.

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“…In contrast to cattle, hepatic abscessation in horses is uncommon and most often is a sequela to Streptococcus equi or Corynebacterium pseudotuberculosis infections or secondary to bacterial translocation from the gastrointestinal tract . Hepatic abscesses also develop secondary to penetrating foreign objects within the gastrointestinal tract . As occurs in cattle, caudal vena caval phlebitis and secondary embolic pneumonia may result from hepatic abscessation in horses .…”

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confidence: 99%

Transdiaphragmatic Hepatic and Pulmonary Abscess Attributed to Ileal Diverticulitis in a Horse

Reshi

Buckles

Pinn

et al. 2013

Veterinary Internal Medicne

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A 16-year-old, 473-kg, Thoroughbred mare was referred to the Cornell University Hospital for Animals with a 1-year history of chronic cough, halito-sis, weight loss, and lethargy. Nine months earlier, the mare had been treated for a bacterial or viral respiratory infection with a course of potentiated sulfona-mides. During the 6-week treatment period, the owner reported that the horse had decreased appetite and had lost weight but that the respiratory signs seemed improved. More recently, over the last 2-3 months, the mare exhibited intermittent respiratory signs, inap-petence, and weight loss. On presentation, the mare (body condition score 4/9) was alert and responsive and had a normal rectal temperature (100.6°F) and heart rate (40 beats/min), but was tachypneic (32 breaths/min). Her mucous membranes were pink and capillary refill time was normal (<2 seconds). During the examination, a non-productive cough occurred intermittently and was associated with foul-smelling breath. Cardiothoracic auscultation was normal and a rebreathing examination disclosed decreased lung sounds in the cranioven-tral lung fields. Auscultation of abdomen was normal. Clinical laboratory tests identified the presence of mature neutrophilia (7.2 9 10 3 /lL; reference range, 2.7-6.6 9 10 3 /lL), hyperproteinemia (9.7 g/dL; reference range, 5.7-7.7 g/dL), hyperglobulinemia (7.1 g/dL; reference range, 2.4-4.4 g/dL), hyperfibrinogenemia (400 mg/dL; reference range, 0-200 mg/dL), and hypo-albuminemia (2.8 g/dL; reference range, 3-3.7 g/dL). Red cell indices (HCT, RBC numbers, MCV, RDW) were within normal limits. Serum electrolyte concentrations (sodium, potassium, chloride, calcium, and phosphorus) were normal, and CK and AST activities were decreased (95 and 161 U/L, respectively; reference range CK, 142-548 U/L; reference range AST, 199-374). Serum creatinine concentration, hepatic enzyme activities (SDH, GLDH, GGT), and serum bilirubin (indirect, direct) concentrations also were within the reference range. Thoracic radiography disclosed the presence of 3 lesions: Cranio-ventrally, there was lung consolidation and air bronchograms consistent with pneumonia. Caudo-dorsally, there was a single, oval, well-margined, soft tissue opacity that spanned 4 intercostal spaces and silhouetted with the diaphragm. Because this lesion silhouetted with the diaphragm, its abdominal extension could not be confirmed by radiography. Cranio-dorsally, within the abdomen and close to the diaphragm, were 2 well-marginated structures with fluid-gas interfaces that spanned 4 intercostal spaces (Fig 1). Based upon the radiographic findings, the gas accumulations were considered to represent abscesses within the liver or gas-filled segments of bowel. Tho-racic sonography confirmed the presence of bilateral ventral lung consolidation consistent with pneumonia. The caudo-dorsal lung lesion, visible on radiographs, was not observed on ultrasound examination because it was surrounded by aerated lung. Sonography of the right cranio-dorsal abdomen confirmed that the liv...

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Perforation of the gastrointestinal tracts of four horses by metallic wires

Cited by 19 publications

References 7 publications

Splenic abscesses due to migrant metallic wires from small intestine in a horse

Splenic abscesses due to migrant metallic wires from small intestine in a horse

Metallic foreign body in the ovary of a broodmare

Transdiaphragmatic Hepatic and Pulmonary Abscess Attributed to Ileal Diverticulitis in a Horse

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