Hiperlipemia post quirúrgica por el estrés metabólico causada por síndrome abdominal agudo.

Abstract

The following work will address a clinical case of a Colombian Criollo Horse (CCC) mare, brown color, 60 months old. She was referred by a veterinarian to the EquuSan equine veterinary clinic on September 9, 2022, due to symptoms of Acute Abdominal Syndrome (AAS). Upon arrival at the clinic, a physical examination was performed and the following parameters were found: depressed animal, tachycardia, tachypnea, temperature of 38.3 °C, capillary filling time 4 seconds, gingival mucosa congested and with presence of halitosis, in the abdominal auscultation the 4 quadrants were evaluated and all were found to be hypomobile with presence of liquids. Laboratory tests (hematocrit, glycemia and total proteins), ultrasonography and rectal palpation were performed as complementary aids. At the time of the ultrasound scan, images compatible with retroflexion of the major colon were observed, which confirmed the presumptive diagnosis of acute abdominal syndrome (AAS). For this reason it was decided to perform medical treatment where the patient showed no evolution, due to this surgical treatment was instituted by exploratory laparotomy reconfirming the definitive diagnosis of retroflexed major colon. After surgery, a new treatment was started and the patient was subjected to observation and hourly monitoring of physiological constants during the first 8 days, then triglycerides and cholesterol were measured because the patient did not evolve and the definitive diagnosis of post-surgical hyperlipemia was reconfirmed due to the metabolic stress caused by the SAA. After 10 days the skin suture was removed and the patient continued to be observed during her stay in the clinic.