(Replaced content with "#REDIRECTAscarid Impaction - Horse")
 
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#REDIRECT[[Ascarid Impaction - Horse]]
 
 
 
 
{| cellpadding="10" cellspacing="0" border="1"
 
| Also known as:
 
|'''Colic in foals<br>
 
'''Impaction<br>
 
'''Simple Obstruction<br>
 
'''Small Intestinal Simple Obstruction<br>
 
'''Small Intestinal Obstruction<br>
 
'''Small Intestinal Impaction'''
 
|}
 
 
 
==Signalment==
 
Foals younger than 6 months on a poor worming schedule and with a heavy parasite burden.  Adult horses are thought to show age-related immune resistance. 
 
 
 
==History==
 
 
 
Recent history of being wormed with a product that causes sudden ascarid death.
 
 
 
 
 
==Aetiology==
 
 
 
Products that cause sudden death of ascarids, particularly [[Parascaris equorum|''Parascaris equorum'']] within the small intestine.  Adult ascarids are large and thus readily cause small intestinal impaction.  Suspected products include(37):
 
*Organophosphates
 
*[[Macrocyclic Lactones|Ivermectin]]
 
*Pyrantel pamoate
 
*Piperazine
 
 
 
==Clinical Signs==
 
*Acute onset colic after administration of anthelmintic (onset varies with degree of obstruction (37))
 
*Signs compatible with [[Colic Diagnosis - Clinical Signs|small intestinal obtruction]]
 
**[[Colic Diagnosis - Naso-gastric Intubation|Nasogastric reflux]] (occasionally dead parasites are seen in reflux)
 
 
 
 
 
 
 
==[[:Category:Colic_Diagnosis_in_the_Horse|Diagnosis]]==
 
 
 
*History
 
*[[Colic Diagnosis - Clinical Signs|Clinical signs]] referable to small intestinal obstruction
 
*Abdominal imaging (radiography and [[Colic Diagnosis - Abdominal Ultrasound|ultrasonography]]) may demonstrate multiple loops of distended small intestine, but imaging is not required if the clinical presentation indicates immediate surgery.
 
 
 
==Treatment==
 
*[[Colic, Medical Treatment|'''Medical treatment:''']] immediate treatment of hypovolaemic shock resulting from sequestration of fluid in small intestine
 
*'''Surgical treatment:''' enterotomy made over the intraluminal impaction and removal of ascarids
 
 
 
 
 
 
 
==Prognosis==
 
Fair in cases that are rapidly treated but poor in foals with evidence of hypovolaemia and septic shock.  In a recent study, long term survival of 25 affected horses was 33%(37).
 
 
 
[[Category:Colic_in_Horses]]
 
[[Category:To_Do_-_Nina]]
 

Latest revision as of 14:53, 8 August 2010