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Chronic ileocecal intussusception in horses.

M S Hackett1, R P Hackett

  • 1Department of Anatomy, New York State College of Veterinary Medicine, Cornell University, Ithaca 14853.

The Cornell Veterinarian
|October 1, 1989
PubMed
Summary

Chronic intussusception in young horses causes partial small intestine obstruction. Surgical anastomosis of the small intestine to the cecum led to successful recovery in most cases, indicating a viable treatment for this condition.

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Area of Science:

  • Veterinary Surgery
  • Equine Medicine
  • Gastrointestinal Pathology

Background:

  • Intussusception, specifically ileocecal intussusception, is a significant cause of partial small intestine obstruction in young horses.
  • Clinical signs include poor physical condition, abdominal pain, depression, and appetite loss, often mimicking other gastrointestinal issues.

Purpose of the Study:

  • To investigate the diagnosis and surgical management of chronic intussusception of the distal ileum into the cecum in young horses.
  • To evaluate the efficacy of surgical correction via anastomosis for this condition.

Main Methods:

  • Surgical exploration of ten young horses presenting with signs of partial small intestine obstruction.
  • Diagnostic assessment including clinical evaluation and rectal palpation.
  • Surgical correction using end-to-side or side-to-side small intestine to cecum anastomosis.

Main Results:

  • Chronic intussusception of the distal ileum into the cecum was confirmed in all ten horses.
  • Surgical findings included distal jejunum and ileum dilatation and hypertrophy, indicative of chronicity.
  • Anastomosis resulted in recovery in 7 out of 8 horses followed long-term; resection of the abnormal segment did not impact outcomes.

Conclusions:

  • Chronic ileocecal intussusception is a treatable cause of partial small intestine obstruction in young horses.
  • Surgical anastomosis provides a successful treatment strategy with good long-term prognosis.
  • Early diagnosis and surgical intervention are crucial for favorable outcomes in affected horses.

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