Difference between revisions of "Lipoma, Pedunculated - Horse"

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===Description===
 
===Description===
  
A pedunculated lipoma is a common cause of small intestinal strangulation or obstruction in horses older than ten to fifteen years of age. It is seen in all types of horses but most commonly in ponies and cob-type horses. Gelding appears to be an additional risk factor. Lipomas attach to the mesentery of the intestine via a stalk or pedicle of varying length. The stalk becomes wrapped around a segment of small intestine, causing compression of the intestinal lumen and corresponding mesenteric vessels.
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A pedunculated lipoma is a common cause of small intestinal strangulation or obstruction in horses older than ten to fifteen years of age. It is seen in all types of horses but most commonly in ponies and cob-type horses. Geldings appear to be at higher risk compared to mares and stallions.
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Lipomas attach to the mesentery of the intestine via a stalk or pedicle of varying length. The stalk becomes wrapped around a segment of small intestine, causing compression of the intestinal lumen and corresponding mesenteric vessels. More rarely, broad-based tumours can occur causing periodic restriction of ingesta without intestinal compromise.
  
 
===Clinical signs===
 
===Clinical signs===
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Other clinical findings include the production of large volumes of gastric reflux following nasogastric intubation, although this may be absent in the early stages of disease. Multiple distended loops of small intestine may be palpable on rectal examination or visible on ultrasonographic examination.
 
Other clinical findings include the production of large volumes of gastric reflux following nasogastric intubation, although this may be absent in the early stages of disease. Multiple distended loops of small intestine may be palpable on rectal examination or visible on ultrasonographic examination.
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===Treatment===
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===Prognosis===
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The prognosis for this condition depends heavily on the time between diagnosis and surgery. If surgery is performed relatively early on, a
  
 
[[Category:Surgical Colic in the Horse]]
 
[[Category:Surgical Colic in the Horse]]
 
[[Category:To_Do_-_SophieIgnarski]]
 
[[Category:To_Do_-_SophieIgnarski]]

Revision as of 16:53, 29 July 2010

See Colic Diagnosis in Horses

Medical Treatment of Colic in Horses



Description

A pedunculated lipoma is a common cause of small intestinal strangulation or obstruction in horses older than ten to fifteen years of age. It is seen in all types of horses but most commonly in ponies and cob-type horses. Geldings appear to be at higher risk compared to mares and stallions.

Lipomas attach to the mesentery of the intestine via a stalk or pedicle of varying length. The stalk becomes wrapped around a segment of small intestine, causing compression of the intestinal lumen and corresponding mesenteric vessels. More rarely, broad-based tumours can occur causing periodic restriction of ingesta without intestinal compromise.

Clinical signs

  • Acute onset abdominal pain (flank-watching, rolling, kicking, pawing)
  • Decreased borborygmi

Other clinical findings include the production of large volumes of gastric reflux following nasogastric intubation, although this may be absent in the early stages of disease. Multiple distended loops of small intestine may be palpable on rectal examination or visible on ultrasonographic examination.

Treatment

Prognosis

The prognosis for this condition depends heavily on the time between diagnosis and surgery. If surgery is performed relatively early on, a