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Cecal perforation in the horse.

M W Ross, B B Martin, W J Donawick

    Journal of the American Veterinary Medical Association
    |August 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Cecal perforation (CP) in horses, often linked to unrelated illnesses and NSAID use, resulted in severe endotoxin shock and death. Necropsy revealed cecal distension and single perforations, with no pre-existing local pathology found.

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    Area of Science:

    • Veterinary Medicine
    • Equine Surgery
    • Gastroenterology

    Background:

    • Cecal perforation (CP) is a critical condition in horses.
    • Understanding risk factors and clinical presentation is vital for equine health.

    Purpose of the Study:

    • To review cases of equine cecal perforation.
    • To identify clinical signs, risk factors, and necropsy findings.

    Main Methods:

    • Retrospective case record review of 23 horses with cecal perforation.
    • Analysis of signalment, history, clinical signs, laboratory data, and necropsy findings.

    Main Results:

    • Horses averaged 4.5 years old; Standardbreds and Thoroughbreds were most common.
    • 16 horses received NSAIDs; 12 hospitalized horses had subtle prior GI signs.

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  • Clinical signs indicated severe endotoxin shock from peritoneal contamination.
  • All horses died; necropsy showed distended ceca filled with ingesta and single perforations.

    • Conclusions:

    • Cecal perforation in horses is often associated with unrelated diseases and NSAID administration.
    • Clinical signs mimic severe endotoxin shock.
    • No pre-existing pathology was identified at perforation sites.