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Cholelithiasis associated with recurrent colic in a Thoroughbred mare.

Seung-ho Ryu1, Ung-bok Bak, Chang-woo Lee

  • 1Equine Hospital, Korea Racing Association, Kwachon 427-070, Korea.

Journal of Veterinary Science
|March 19, 2004
PubMed
Summary

Recurrent colic in a Thoroughbred mare was linked to cholelithiasis (bile stones) obstructing the bile duct. Definitive diagnosis can be challenging, but this condition should be considered in horses with persistent colic signs.

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Area of Science:

  • Veterinary Medicine
  • Equine Internal Medicine
  • Surgical Pathology

Background:

  • Recurrent colic is a common presenting complaint in horses.
  • Obstructive biliary disease is a less common but significant cause of colic.
  • Cholelithiasis, or bile stones, can lead to significant morbidity in horses.

Observation:

  • A 13-year-old Thoroughbred mare presented with recurrent colic and icterus.
  • Initial treatments for colic provided temporary relief, but the condition worsened.
  • Clinical signs included fever, icterus, and laboratory findings suggestive of obstructive biliary disease.

Findings:

  • Necropsy revealed multiple large, dark brown choleliths obstructing the hepatopancreatic ampulla.
  • Histopathology confirmed biliary fibrosis, cholangiohepatitis, and bile pigment accumulation.

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  • The findings definitively diagnosed cholelithiasis as the cause of the mare's condition.

    • Implications:

    • Cholelithiasis should be considered in the differential diagnosis for horses with recurrent colic, especially when accompanied by icterus.
    • Liver enzymes and bilirubin measurements may be valuable in diagnosing obstructive biliary disease in colic cases.
    • Early recognition and diagnosis of cholelithiasis can potentially alter treatment and improve outcomes in equine patients.