Jejunojejunal Intussusception and Colonic Impaction in a 12-Day-Old Orphan Foal

A 12-day-old, 14.4-kg, female foal of Australian Miniature Pony breed was presented at the National Chung Hsing University Veterinary Medicine Teaching Hospital, Taiwan, with a history of weakness of 2 days’ duration. The mare died of unknown cause on the previous day. Abnormal findings during physical examination included an estimated dehydration of 3 to 5%, dark red oral mucous membranes, elevated heart and respiratory rates, stiffened feces, and absence of intestinal motility on auscultation. Continual nursing care was followed by intravenous fluid therapy and nonsteroidal anti-inflammatory drug and antibiotic treatment. The foal's condition deteriorated rapidly, and feeding was refused. Subsequently, she developed signs of pyrexia and panting. In spite of oxygen supplement, she died 18 hours after admission. Postmortem examination revealed the presence of a jejunojejunal intussusception, 20 cm in length; a torsion of jejunum proximal to the intussusception also was noted. An ulcerative lesion, 3 cm in diameter, was found on the mucosa of duodenum. Large amounts of sand, coat hair, and hay mantling in bloody discharge were observed in a colonic impaction. That it was an acute case was evident by the involvement of intussusception and ulceration, indicating desquamation of the necrotic epithelial cells with edema and distinct infiltration of neutrophils. These results suggested that a practical management strategy for nursing an orphan foal should be performed to avoid a similar case in the future.