Slovenian Veterinary Research (Mar 2024)
SECONDARY SMALL INTESTINAL OBSTRUCTION ASSOCIATED WITH AN OMENTAL ADHESION AFTER END-TO-END JEJUNO-ILEAL ANASTOMOSIS IN A THOROUGHBRED HORSE: A CASE REPORT
Abstract
A 19-month-old female thoroughbred horse presented with a history of acute abdominal pain. When the horse was four months of age, she underwent abdominal surgery and most of the strangulated jejunum and ileum were resected and anastomosed using an end-to-end technique. Subsequently, the horse was diagnosed with an ileal obstruction secondary to an adhesion of the greater omentum, which caused a mechanical obstruction of the lumen of the distal ileum. The ileum was released by transecting the adhesion and performing an omentectomy. After surgical intervention, the horse recovered quickly and was discharged fifteen days after surgery. This case report describes an ileal obstruction caused by an omental adhesion that formed after a jejunoileal anastomosis in a thoroughbred horse. The clinical, imaging, and surgical findings are described. Primer sekundarna obstrukcije tankega črevesa, povezane z adhezijo omentuma po jejuno-ilealni anastomozi pri čistokrvnem konju Izvleček: 19 mesečna čistokrvna kobila je imela akutno abdominalno bolečino. Pri starosti 4 mesecev so ji med abdominalno operacijo odstranili večino zadrgnjenega jejunuma in ileuma, ki so ju anastomozirali s tehniko konec s koncem. Pri kobili so nato diagnosticirali obstrukcijo ileuma kot posledico adhezije velikega omentuma, ki je vodila v mehansko zaporo lumna distalnega ileuma. Ileum je bil sproščen s prerezom adhezije in izvedbo omentektomije. Po kirurškem posegu je kobila hitro okrevala in bila po petnajstih dneh odpuščena iz veterinarske oskrbe. Ta klinični primer opisuje obstrukcijo ileuma zaradi adhezije omentuma po jejuno-ilealni anastomozi pri čistokrvni kobili. Opisani so klinični, slikovni in kirurški izvidi. Ključne besede: kolika; konj; jejuno-ilealna anastomoza; adhezija omentuma; obstrukcija tankega črevesa
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