Abstract
ABSTRACT This report describes a horse presenting ileal impaction that went through a right flank laparotomy procedure while standing. The decision to use this technique was made under the influence of several factors: the patient exhibited a calm temperament and demonstrated responsiveness to the analgesic treatment for pain control; the abdominal lesion was amenable to correction by a standing right flank approach. Also, the owner reported financial problems. Ileal obstruction was relieved successfully, and the horse recovery was satisfactory. This case highlights that, in specific cases of colic syndrome, the use of surgical procedures in the standing position might be a viable option and promote fast recovery.
Highlights
Obstruction of the small intestine is an acute abdominal condition that can occur in horses and notably, the ileum is the most common section involved in these cases of intraluminal impaction (Fleming and Mueller, 2011)
This report describes a horse presenting ileal impaction that went through a right flank laparotomy procedure while standing
The decision to use this technique was made under the influence of several factors: the patient exhibited a calm temperament and demonstrated responsiveness to the analgesic treatment for pain control; the abdominal lesion was amenable to correction by a standing right flank approach
Summary
Obstruction of the small intestine is an acute abdominal condition that can occur in horses and notably, the ileum is the most common section involved in these cases of intraluminal impaction (Fleming and Mueller, 2011). Ileal impactions often exhibit mild to severe degrees of colic and are slowly progressive (Mueller and Fleming, 2009); intestinal borborygmi may occur and analgesics are initially effective for pain relief (Fleming and Mueller, 2011). Access through the flank can be useful in specific situations, such as those involving patients with a calm temperament, as well as those in which pain is responsive to analgesics (Graham and Freeman, 2014; Ross, 1991). This report describes a successful standing flank laparotomy performed in a horse with ileal impaction, including the advantages, prerequisites, and risks involved
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