Impactación de colon mayor y presencia de enterolito en colon menor en una mula (equus asinus × equus caballus).

Abstract

On July 26, at the EQUUSAN equine veterinary clinic, in Manizales, Colombia, a mule patient, a female of the Colombian Creole horse breed, called Española, aged 8 years, was admitted, presenting symptoms associated with an acute abdominal syndrome. The owner reports that she has been restless and with a lack of appetite, looking at her flanks and wallowing, which is why they decided to bring her to the EQUUSAN clinic immediately for a respective evaluation. Upon arrival at the clinic, a physical examination was performed. A depressed patient was observed, with tachycardia, tachypnea, capillary filling time of 4 seconds, temperature 37.5, pale pink gingival mucosa and presence of halitosis; The abdominal auscultation of the four quadrants revealed motility. Next, diagnostic tests were performed such as hematocrit, total proteins, glycemia, abdominal ultrasonography and rectal palpation, in which sacculations and amotility were evidenced in the ventral colon, presence of gas, it was deduced as a possible presumptive diagnosis acute abdominal impaction syndrome. For this reason, it was decided to perform exploratory laparotomy in order to confirm the diagnosis and thus surgically correct the pathology. Post-surgical treatment was established by the surgeon and was constantly monitored every hour for five days, evaluating heart and respiratory rate, temperature, mucous membranes, capillary filling time, delayed skin fold, appetite, thirst, urination, defecation, as well as abdominal auscultation of the four quadrants. At 10 days, the stitches were removed and the day after this procedure dehiscence of the wound was observed, a collar of sticks was placed to prevent the wound from being injured. He was discharged at 16 days with mandatory medical recommendations.