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Cholelithiasis in four horses

J L Traub, N Rantanen, S Reed

    Journal of the American Veterinary Medical Association
    |July 1, 1982
    PubMed
    Summary
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    Cholelithiasis, or gallstones, in horses can cause recurrent abdominal pain due to biliary obstruction. Ultrasonography can aid in diagnosis, while some cases are found incidentally during necropsy.

    Area of Science:

    • Veterinary Medicine
    • Equine Surgery
    • Diagnostic Imaging

    Background:

    • Cholelithiasis is a rare condition in horses, characterized by the formation of gallstones within the biliary system.
    • Recurrent abdominal pain is a common clinical sign that can indicate gastrointestinal or biliary issues in horses.

    Observation:

    • This study reviewed four cases of equine cholelithiasis.
    • Two horses presented with recurrent colic, suggestive of biliary obstruction.
    • Clinical data, physical examination, and history supported the suspicion of biliary obstruction in these cases.

    Findings:

    • B-mode ultrasonography was utilized in one case, successfully aiding in the diagnosis of cholelithiasis.
    • The diagnosis in the ultrasonography-assisted case was confirmed post-mortem via necropsy.

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  • In two other horses, biliary calculi were discovered as incidental findings during necropsy, without prior clinical signs.

    • Implications:

    • This case series highlights the importance of considering cholelithiasis in horses with recurrent abdominal pain.
    • Diagnostic imaging, such as ultrasonography, can be a valuable tool for diagnosing equine cholelithiasis.
    • The incidental finding of calculi in some cases suggests that not all equine gallstones cause clinical disease.