Difference between revisions of "Ascarid Impaction"

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==Prognosis==
  
 
==Treatment==
 
==Treatment==
 
*[[Colic, Medical Treatment|'''Medical treatment:''']] immediate treatment of hypovolaemic shock resulting from sequestration of fluid in small intestine
 
*[[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
 
*'''Surgical treatment:''' enterotomy made over the intraluminal impaction and removal of ascarids
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==Prognosis==
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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:To_Do_-_Nina]]
 
[[Category:To_Do_-_Nina]]

Revision as of 21:30, 6 August 2010




Signalment

Foals younger than 6 months on a poor worming schedule and with a heavy parasite burden. Recent history of being wormed with a product that causes sudden ascarid death.

Aetiology

Parascaris equorum


Clinical Signs

  • Acute onset colic after administration of anthelmintic (onset varies with degree of obstruction (37))
  • Signs compatible with small intestinal obtruction
    • Nasogastric reflux (occasionally dead parasites are seen in reflux)


Diagnosis

  • History
  • Clinical signs referable to smal intestinal obstruction
  • Abdominal imaging (radiography and ultrasonography) may demonstrate multiple loops of distended small intestine, but imagin is not required if the clinical presentation indicates immediate surgery.


Prognosis

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).