Caballo criollo colombiano con síndrome abdominal agudo causado por encarcelamiento ileoyeyunal en omento mayor, desplazamiento de colon ventral hacia derecha e impactación.

Abstract

In this report, we have as a patient a 4-year-old male, whole, Colombian Colombian breed, which presents signs of acute abdominal syndrome in the kennel where he was medically attended without response and is referred to the SAS equine clinic, to his arrival presents tachycardia, tachypnea, hyperthermia, hypomotility. Diagnostic tests are performed such as abdominal ultrasound (flash method), transrectal palpation, nasogastric probing, abdominocentesis for measurement of peritoneal lactate and measurement of blood lactate. Surgery is entered where there is an incarceration of the ileojejunal portion and necrosis of approximately 1 meter of it, ileojejunal enterotomy and jejunocecal laterolateral enteroanastomosis was performed with the GIA-100 staple method, while continuing to explore the abdominal cavity, one of the Ventral colon to the right which was found with impaction, the colon is positioned on the colon table for lavage, an enterotomy is performed in the pelvic flexure where all the impacted content was drained, the colon was repositioned in its anatomical place and the abdominal cavity was closed, a recovery room was taken and subsequently intensive care was required for constant monitoring and post-operative medical care. The evolution of the patient is not favorable, presenting feverish peaks of 39.5ºC to 40.1ºC, so it was decided to perform hematology and blood chemistry exams.The patient, after spending 20 days post-surgery, presented with symptoms of SAA, where it was decided to re-enter surgery, finding post-surgical adhesions and the presence of serosanguineous fluid, which referred peritonitis, so that the prognosis of the patient worsens and the possibilities of evolution quickly become null. that it is decided intraoperatively to sacrifice the patient.