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The Equine Acute Abdominal Crisis

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The Equine Acute Abdominal Crisis

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  1. At BVEH your horse’s health is our passion. Our goal is to care for each patient, from conception through retirement, with the highest quality care available at a reasonable cost. As highly trained and dedicated professionals, we are committed to exceeding expectations and to helping each horse reach its full athletic potential.

  2. The Equine Acute Abdominal Crisis • Ben Buchanan, DVM • Brazos Valley Equine Hospital • Board-certified Specialist • Internal Medicine • Emergency and Critical Care Colic

  3. Slided Developed By • AAEP • www.aaep.org/horseowner

  4. Photos courtesy of • Ben Espsy, DVM, DACT • Diana Zimmel, DVM, DACVIM, DABVP • www.aaep.org/horseowner

  5. Surgery? • Most cases of colic resolve with medical treatment • Surgical cases minority of total colics

  6. Surgery? • Most common cause of equine mortality • These are the ones that don’t resolve • Treat every case as it is surgical

  7. Indications for Surgery • Pain • Recurrent or intractable • The longer it persists, the less severe required to indicate surgery • Gastric reflux (large amount) • Not necessarily

  8. Indications for Surgery • Rectal exam • Small intestinal distention • Displacement or distended large colon • Mass • Ultrasound • Thickened bowel wall • Gas in bowel wall

  9. Indications for Surgery • Absence of borborygmi • Ileus • Peritoneal fluid • Increased protein • Serosanguinous

  10. Normal Mucosa

  11. Strangulation Obstruction Endotoxin

  12. Verminous Arteritis

  13. Contraindications for Surgery • Fever • Most often means enteritis • CBC • Neutropenia: enteritis • Auscultation • Good motility

  14. Preoperative Prognostic Indicators • Cardiovascular status (shock) • Indicates severity of problem • Reversible? • Small intestinal distention • Usually strangulated • Small intestine has more postoperative complications • Peritoneal fluid elevations

  15. Thank You • Ben Buchanan, DVM, DACVIM, DACVECC • Brazos Valley Equine Hospital • bbuchanan@bveh.com • 936-825-2197

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