Síndrome abdominal agudo en yegua criolla colombiana con impactación de colon ventral derecho y retro flexión de colon.

Abstract

The following report describes a clinical case received on October 11, 2020 at the EQUUSAN equine clinic, in the city of Manizales, Colombia. A female equine patient of 8 years old was admitted, with 34 days of gestation, which presented signs of acute abdominal syndrome, where she was attended therapeutically without presenting any improvement so her owner decided to take her to the clinic for her respective medical evaluation.To the clinical findings in the medical evaluation was found a patient in a depressive attitude, her mucous membranes were congested with toxic halo and mild halitosis, mild tachycardia, mild tachypnea, 2% of dehydration and hypo-motility of the four quadrants. Diagnostic tests were performed, such as abdominal ultrasonography, transrectal and transrectal palpation. Hematocrit, total proteins, and glycemia were also evaluated. According to the medical evaluation and the clinical findings, an acute abdominal syndrome was diagnosed and it was decided to take the patient to surgery by means of exploratory laparotomy, where in the surgical intervention it was possible to give as definitive diagnosis an acute abdominal syndrome by impact of right ventral colon and retroflexion of colon, reaching complete resolution of the condition with success surgically. The monitoring of the physiological constants and the clinical signs of this one were taken during the whole intrahospital stay evaluating his evolution to the installed therapeutic plan. Some post-surgical complications were presented, finding in reproductive check-up at 5 days post-surgical by means of ultrasound scan that the embryo was reabsorbed without any other reproductive alteration. Another of the complications presented was that the patient after 5 days post-surgery returns and presents S.A.A. symptoms, where the decision is taken to intervene again the patient finding post-surgical adhesions which led to present again clinical signs of colic in the patient, which were resolved by the surgeon successfully, the abdominal cavity was closed, the patient was taken to the recovery room and later to the hospitalization cribs for constant monitoring and post-surgical medical care. After the resolution of the case and with the patient completely stable, the patient is discharged under specific recommendations.