Informe final de pasantía profesional clínica equina S.A.S. caso clínico: Síndrome abdominal agudo por desplazamiento de colon a la derecha.

Abstract

At the veterinary clinic came an male adult horse with a history of intermittent episodes of colic moderate to severe, of reddish urine, occasional spiking fevers, diarrhea 5/5, remained during four days with hydration. The horse had poor response to analgesia with Flunixin meglumine, acute abdominal syndrome was diagnosed, because the clinical examination of admission, the patient presented moderate abdominal pain, hypomotility of the 4 quadrants, mild bilateral abdominal distension, anemia, jaundice and fever, therefore, are handled as differential diagnostics: piroplasmosis for systemic affectation, and at abdominal level impactation of major colon, medical management were performed for both diseases with good response to them. After four days of hospitalization, the patient presented a severe colic with no response to analgesia, this combined with the findings of diagnostic tests, forced to perform an exploratory laparotomy, finding shift to the major colon at right and impaction of the same organ, at eighteen day after surgery was necessary to make a new exploratory laparotomy due to intermittent episodes of pain unresponsive to analgesia, and surgical findings showed shift of the colon at right, which was repositioned and evolved satisfactorily.