Survival and Complications After Large Colon Resection and End‐to‐End Anastomosis for Strangulating Large Colon Volvulus in Seventy‐Three Horses

Objective— To report complications and survival after large colon resection and end‐to‐end anastomosis in horses with strangulating large colon volvulus. Study Design— Retrospective case series. Animals— Horses (n=73) with strangulating large colon volvulus. Methods— Records (January 1995 to December 2005) of horses that had large colon resection and anastomosis for strangulating large colon volvulus were reviewed for complications. Follow‐up data were obtained by telephone questionnaire at least 1 year postoperatively. Cox proportional hazards model was used for multivariate association with survival time. Variables included admission date, age, temperature, heart rate, packed cell volume, total plasma protein concentration, white blood cell count, breed, and sex. Significance was set at P<.05. Results— The most common postoperative complication was diarrhea. None of the 9 variables of interest were significant for survival. Short‐term survival rate (to discharge) was 74%. Overall survival rates at 1, 2, and 3 years postoperatively were 67.8%, 66.0%, and 63.5%, respectively. Four horses died of colic in the first year after surgery. All horses surviving long‐term (>1 year) returned to their intended use (37 brood mares, 2 racehorses, and 1 show horse) with no chronic problems related to the surgical procedure. Conclusion— None of the variables examined were associated with survival. Outcomes were similar to other large studies of surgical colic in the horse. Self‐limiting diarrhea is common after large colon resection and the prognosis for survival after hospital discharge is favorable. Clinical Relevance— Horses that survive the early postoperative period and are discharged after large colon resection and anastomosis have a good chance for long‐term survival with minimal negative impact on quality of life and use.     

Handsewn Semiclosed Single‐Layer Jejunocecal Side‐To‐Side Anastomosis in the Horse

Objective: To report a technique for semiclosed 1‐layer side‐to‐side jejunocecal anastomosis in horses. Study Design: Experimental study and clinical reports. Sample Population: Part 1—In vitro: Intestinal specimens from 24 horses collected immediately after death at an abattoir. Part 2—Clinical cases: 10 horses with clinical signs of colic requiring jejunocecostomy. Methods: Mean time to perform twelve 2‐layer handsewn (HS2L) and 12 semiclosed 1‐layer modified handsewn (SC) jejunocecal anastomoses was compared. Mean bursting pressures of anastomoses measured with a modified tank inflation test were compared. The SC technique was used in 10 horses that required jejunocecal anastomosis with and without resection (complete or incomplete ileocecal bypass). Results: The SC technique was significantly quicker to perform than HS2L technique. Clinically, the technique appeared safe with a major complication, associated with obstruction from kinking of the anastomosis, occurring in 1 horse. Conclusions: The SC technique was easy to perform with very little mucosal exposure in comparison to the HS2L technique, and was safe and effective in restoring intestinal continuity in clinical cases. Clinical Relevance: The SC technique should be considered for jejunocecostomy in horses because it reduces anastomosis time and mucosal exposure compared with other techniques.     

Long-term Outcome of Tooth Repulsion in Horses A Retrospective Study of 61 Cases

The records of 61 horses undergoing tooth repulsion for treatment of alveolar periostitis were reviewed. Seventeen of 36 horses (47%) in which maxillary teeth were removed had serious postoperative complications, such as infection of a second tooth, bone sequestration, chronic sinusitis, draining tracts, retained dental packing, feed impaction of the alveolus or sinus, suture-line dehiscence, or skin-flap sloughs. Eight horses required at least one additional surgical procedure. Eight of 25 horses (32%) in which mandibular teeth were removed had serious postoperative complications, and four horses required an additional surgical procedure. Hospitalization lasted 2 to 61 days (median, 22 days) for maxillary teeth and 3 to 35 days (median, 8 days) for mandibular teeth. Long-term follow-up (at least 5 months) was possible in 47 horses. Twenty-four of 30 horses (80%) with maxillary tooth repulsion healed without further problems; six horses had persistent nasal discharge. Fourteen of 17 horses (82%) with mandibular tooth repulsion healed with no further problems or with only minor complications; three horses had a chronic draining tract.     

Necrotizing Enterocolitis in Horses: A Retrospective Study

The clinical and clinicopathologic characteristics of fatal necrotizing enterocolitis were examined in 16 horses (age 4 months to 12 years). At initial presentation, 8 of 16 horses were pyrexic (median temperature, 38.4°C; range, 33.8 to 40.6°C); all 16 were tachycardic (median heart rate, 93 bpm, range, 66 to 138 bpm); 13 of 16 were tachypneic (median heart rate, 36 bpm, range, 16 to 80 bpm), dehydrated, and had discolored mucous membranes. All horses that were pyrexic were also tachycardic and tachypneic. PCV was high (>45%) in 14 horses. Six horses were leukopenic (<5,000 cells/μL); 12 were neutropenic (<2,300 cells/μL), and 14 had >100 band neutrophils/μL. Twelve horses were acidemic (pH 7.37; range, 6.88 to 7.33) and the venous bicarbonate concentration was low (<23 mEq/L) in 14 horses. Median anion gap in 16 horses was 31.5 mEq/L (>15 mEq/L in 15 horses). Eleven of 16 horses were hyponatremic (<137 mEq/L), 1 horse was hypernatremic (> 143 mEq/L), 3 were hypoka-(emic (<3.2 mEq/L), 6 were hyperkalemic (>4.5 mEq/L), and 14 were hypochloremic (<98 mEq/L). Serum creatinine concentrations were high (>1.4 mg/dL) in 15 horses. Abdominal fluid was examined in 12 horses: 4 had total protein concentrations 2.5 g/dL and 6 had nucleated cell counts >5,000/μL and <10,000/μL; none had >10,000/μL. Eight of 12 samples revealed a nondegenerate neutrophilia (>50%). Abdominal fluid collected from 4 horses immediately before death was normal in 2 horses and indicative of suppurative inflammation in 2. All 8 horses tested had low or nonexistent serum immunofluorescent antibody titers to Ehrlichia risticii. Four of 16 horses had Salmonella spp isolated from feces or tissues. All 16 horses either died (5 of 16; 31%) or were euthanized because of a grave prognosis. Median time to death was 45.5 hours (range, 7 to 113 hours) from the time of admission. Death was preceded by severe abdominal pain in 14 horses. Fatal necrotizing enterocolitis of horses is characterized by a brief course, profound dehydration, electrolyte derangements, acid-base abnormalities, and terminally, severe abdominal pain. Abdominal fluid analysis was frequently not indicative of the severity of disease. J Vet Intern Med 1996;10:265–270. Copyright©1996 by the American College of Veterinary Internal Medicine.     

Equine Coronavirus-Associated Colitis in Horses: A Retrospective Study

Equine coronavirus (ECoV) is a known cause of fever, anorexia, and lethargy in adult horses. Although there are multiple reports of ECoV outbreaks, less is known about the clinical presentation of individual horses during a nonoutbreak situation. The purpose of this study was to describe the clinical presentation of horses diagnosed with ECoV infection that were not associated with an outbreak. Medical records of all horses admitted to Washington State University, Veterinary Teaching Hospital, during an 8-year period were reviewed (2010–2018). The five horses included in this study were older than 1 year of age, were diagnosed with colitis, tested positive for ECoV using real-time polymerase chain reaction, and were negative to other enteric pathogens. Interestingly, 4 of 5 horses had moderate to severe diarrhea, 3 had abnormal large colon ultrasonography, 2 had transient ventricular tachycardia and 2 had clinicopathologic evidence of liver dysfunction. ECoV should be included as a differential diagnosis for individual horses presenting with anorexia, fever, lethargy, and colitis. Early identification of ECoV cases is key to implement appropriate biosecurity measures to prevent the potential spread of this disease.     

16例犬钩端螺旋体病例的回顾性分析

为了解犬钩端螺旋体病的临床特点和诊疗方法,对2017年10月至2018年7月在浙江大学动物医院确诊的16例钩端螺旋体病犬的发病和诊疗情况进行了回顾分析。PCR诊断钩端螺旋体免疫的公犬是高发群体,雨水较多的月份发病率高于雨水少的月份,由于周边地区金毛、贵宾和田园犬的保有量相对其他品种要高,故在患犬中占比较高。病初主要表现为呕吐、脱水、精神委靡、结膜潮红、食欲废绝等症状。临床检查发现血尿素氮、血肌酐、血磷等指标明显升高,白细胞不同程度升高,部分病例出现贫血。B超检查可见肾肿大、肾实质损伤。主要酸碱紊乱类型为代谢性酸中毒和呼吸性酸中毒,低钠血症最为常见,并发症有肝损伤、胰腺炎、肺炎等。     

Thrombocytopenia in Horses: 35 Cases (1989–1994)

The records of 3,952 equine patients presenting to the Veterinary Teaching Hospital at North Carolina State University College of Veterinary Medicine were evaluated to determine risk factors associated with thrombocytopenia. Of 2,346 horses from which a CBC was obtained, 35 (1.49%) were thrombocytopenic (platelet count < 75,000/μL). A reference population of 189 horses with normal platelet counts (75,000 to 300,000/μL) was also studied. Standardbred horses were at increased risk for thrombocytopenia. but age and gender were not identified as significant risk factors. Horses with infectious or inflammatory diseases were at increased risk for thrombocytopenia. The potential association of clinical and clinicopathologic factors with thrombocytopenia were assessed by reviewing a series of multiple logistic regression models. Clinical and clinicopathologic variables significantly associated with thrombocytopenia in the final model included increased PCV, increased band neutrophil count, increased total WBC, and decreased plasma protein concentration. Increased mature neutrophil count was associated with normal platelet counts. Thrombocytopenic horses were significantly more likely to die or be euthanized than were horses with normal platelet counts. J Vet Intern Med 1996;10:127–132. Copyright © 1996 by the American College of Veterinary Internal Medicine .     

Feline Cutaneous Melanocytic Neoplasms: A Retrospective Analysis of 43 Cases (1979–1991)

Abstract— Forty-three cases of cutaneous melanocytic neoplasia in cats were reviewed. Twenty-eight of the 43 neoplasms were histologically benign and 15 were malignant. Behavior was independent of site except that tumors of the eyelid were malignant. Histologic findings of epidermal ulceration, cleanliness of tissue borders, degree of melanization, tumor cell type, and the presence or absence of theques did not differentiate benign from malignant tumors. Junctional activity indicated a high probability of benign behavior while malignant behavior was predicted by a high mitotic index and infiltration of the tumor by lymphoid cells. Résumé— Quarante trois cas de tumeurs mélaniques félines ont été revus. Vingt huit de ces 43 tumeurs étaient histologiquement bénignes et 15 malignes. Le comportement était indépendant de la localisation de la tumeur, à l'exception des tumeurs des paupières, toujours malignes. L'observation histologique d'ulcération épidermique, de propreté des bords des tissus, du degré de mélanisation, du type cellulaire et de la presence ou de l'absence de thèques ne différait pas qu'il s'agisse de tumeur bénigne ou maligne. L'activité jonctionnelle indiquait une forte probabilité de bénignité, alors qu'un comportement malin était prédit par un index mitotique élevé et une infiltration de la tumeur par des cellules lymphoïdes. Zusammenfassung— Es wird ein überlick über 43 Fälle von kutanen melanozytären Neoplasien bei Katzen gegeben. Achtundzwanzig der 43 Neoplasmen waren histologisch gutartig, 15 waren bösartig. Das Verhalten der Tumore war unabhängig von der Lokalisation, abgesehen von Tumoren der Augenlider, die stets maligne waren. Histologische Befunde wie epidermale Ulzeration, scharfe Begrenzung der Gewebsränder, Grad der Melanisierung, Tumorzelltyp und Vorhandensein oder Fehlen von Thequen unterschieden die benignen von den malignen Tumoren nicht. Verbindungsaktivität bedeutete eine hohe Wahrscheinlichkeit für gutartiges Verhalten, während bösartiges Verhalten durch einen hohen Mitoseindex und Infiltration des Tumors mit lymphoiden Zellen vorhersagbar war. Resumen En éste artículo se analizan cuarenta y tres casos de neoplasia melanocítica cutánea en gatos. Veintiocho de loa cuarenta y tres casos, resultaron cánceres benignos histológicamente y quince, malignos. El grado de malignidad no tenia relación con el sitio de procedencia con la excepción de que los tumores de párpados que resultaron malignos. Las características histológicas de las ulceraciones epidérmicas, limpieza de tejidos circundantes, grado de melanización, tipo de célula tumoral, y presencia o ausencia de the zeques, no sirvió para la diferenciación entre maligno y benigno. La actividad de la zona delimitante fué un indicador de alta probabilidad de benignidad, mientras que la el tipo maligno se predijo por un índice mitótico alto e infiltración del tumor por celulas de tipo linfoide.     

Medical Management of Right Dorsal Colitis in 5 Horses: A Retrospective Study (1987–1993)

Right dorsal colitis in horses has been associated with administration of phenylbutazone. Although reports of right dorsal colitis in this species have described surgical treatment associated with a poor prognosis, we have had success treating this condition medically. This report describes 5 horses with right dorsal colitis confirmed during celiotomy that were initially managed medically. All horses had a history of intermittent abdominal pain; weight loss was noted in only 1 horse. The doses (2.0 to 4.6 mg/kg PO bid) and duration (5 to 30 days) of administration of phenylbutazone were not unusually high relative to those recommended (4.4 mg/kg PO bid). Hypoproteinemia and hypoalbuminemia were observed in all horses at the time of admission; packed cell volume was low in 4 horses, and hypocalcemia was also observed in 4 horses. Three of 5 horses (60%) appeared to respond to dietary management and discontinuation of administration of nonsteroidal anti-inflammatory drugs. Dietary management consisted of feeding pelleted feed, and restricting or eliminating roughage for a period of at least 3 months. Two horses developed strictures of the right dorsal colon. One horse that developed a colonic stricture, possibly because its owners did not comply with recommendations for management, was subsequently treated surgically. The remaining horse that developed a stricture of the right dorsal colon was euthanized. These data indicate that some horses with right dorsal colitis can be successfully managed with medical treatment.     

Puncture Wounds of the Navicular Bursa in 38 Horses A Retrospective Study

The medical records of 38 horses with puncture wounds of the navicular bursa were reviewed. Only 12 horses had a satisfactory outcome (breeding or riding). Of the remaining 26 horses, 19 were euthanized, five were sold due to persistent severe lameness, one died, and one was lost to long-term follow-up. Different combinations of conservative management prior to surgical debridement and drainage of the navicular bursa were unsuccessful in resolving the condition. Horses that were treated surgically within 1 week of the injury and had a hind leg affected had the best chance of a satisfactory outcome. Additional wound debridement was necessary in 15 horses after initial surgical treatment. The most common complications encountered were navicular bone osteomyelitis and sepsis of the deep digital flexor tendon. Thirteen of 14 horses that had rupture of the deep digital flexor tendon and subluxation of the distal interphalangeal joint had an unsatisfactory outcome. One mare subsequently developed ankylosis of the distal interphalangeal joint and was a useful brood mare. Two horses that had biaxial palmar digital neurectomy because of persistent lameness were later euthanized because of navicular bone fracture and rupture of the deep digital flexor tendon. Results from limited numbers of bacterial cultures and antibiotic sensitivities suggest that penicillin and an aminoglycoside antibiotic should be used as initial antibiotic therapy. Immediate surgical debridement and appropriate antibiotic treatment are recommended as the minimum therapy for penetrating wounds of the navicular bursa in horses.