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Clinical signs may very depending on the extent of intestine involved and the degree of strangulation that has occurred. Initial signs may be restricted to those indicative of acute onset abdominal pain (for example flank-watching, rolling, kicking and pawing). Occasionally the owner may report a history of exercise immediately prior to the onset of abdominal pain. This is hypothesised to be due to the lipoma wrapping around the gut in the abdomen of the rapidly moving horse.
Clinical signs may very depending on the extent of intestine involved and the degree of strangulation that has occurred. Initial signs may be restricted to those indicative of acute onset abdominal pain (for example flank-watching, rolling, kicking and pawing). Occasionally the owner may report a history of exercise immediately prior to the onset of abdominal pain. This is hypothesised to be due to the lipoma wrapping around the gut in the abdomen of the rapidly moving horse.
Initially, the abdominal pain may respond well to analgesia. In the early stage of the disease, gut sounds may be present and faeces may be passed. It may take up to eight to twelve hours before additional clinical signs including tachycardia and tachypnoea occur. At this stage there may be reduced borborygmi and cessation of defecation. If vascular compromise has occured, signs of endotoxaemia may be present including congested oral mucous membranes with 'toxic rings', weak peripheral pulses and prolonged capillary refill time.
Initially, the abdominal pain may respond well to analgesia. In the early stage of the disease, gut sounds may be present and faeces may be passed. It may take up to eight to twelve hours before additional clinical signs including tachycardia and tachypnoea occur. If strangulation has occurred, borborygmi are absent and defecation ceases. If vascular compromise has occured, signs of endotoxaemia may be present including congested oral mucous membranes with 'toxic rings', weak peripheral pulses and prolonged capillary refill time.
===Diagnosis===
===Diagnosis===