Abstract
SummaryThe possibility of stomach impaction resulting in large colon volvulus is raised by authors reporting the findings of both lesions in 7 horses. Although this combination of lesions has not been reported before, it is interesting to consider the effect of a gastric impaction compressing the colon as the stomach increases in size with firm ingesta. Anatomically, the stomach is dorsal to the colon, and might therefore compress the colon. As to how this might result in volvulus, it is interesting to speculate on the possible roles of gas accumulation or other changes in the intracolonic environment, such as composition in microbiota. The report of 7 horses also highlights the need to thoroughly explore any horse taken to surgery because of intractable colic in case there is more than one lesion.
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