Changes

===Ultrasound===

===Ultrasound===

Abdominal ultrasound reveals a distended large colon with oedematous walls. Peritoneal fluid should be sampled under ultrasound guidance, typical changes include an increase in protein and cellular content.   

Abdominal ultrasound reveals a distended large colon with thickened, oedematous walls. Peritoneal fluid should be sampled under ultrasound guidance, typical changes include an increase in protein and cellular content.   

==Treatment==

==Treatment==

Strangulating torsion is a surgical emergency- the horse should go to surgery within 2-4 hours of the onset of clinical signs if the outcome is to be good.

Mild non-strangulating torsions can be managed conservatively but for more severe torsions and all strangulating torsions surgery is vital. Rapid referral for surgical correction is imperitive if the outcome is to be good.

See '''[[Colic, Medical Treatment|Medical Treatment of Colic in Horses]]'''

 

In conjunction with surgical treatment, IV fluids will be needed to replace plamsa volume, and electrolyte abnormalities corrected. See '''[[Colic, Medical Treatment|Medical Treatment of Colic in Horses]]'''

==Prognosis==

==Prognosis==

* Mair, T., Love, S., Schumacher, J. and Watson, E. (1998) '''Equine Medicine, Surgery and Reproduction''' ''WB Saunders Company Ltd''  

* Mair, T., Love, S., Schumacher, J. and Watson, E. (1998) '''Equine Medicine, Surgery and Reproduction''' ''WB Saunders Company Ltd''  

* Merck & Co (2008) '''The Merck Veterinary Manual (Eighth Edition)''' ''Merial''

* Merck & Co (2008) '''The Merck Veterinary Manual (Eighth Edition)''' ''Merial''

[[Category:Surgical Colic in the Horse]]

[[Category:Surgical Colic in the Horse]]

[[Category:To_Do_-_lizzyk]]

[[Category:To_Do_-_lizzyk]]