Gastric Torsion from an Intestinal Hernia Through a Rent in the Gastrosplenic Ligament in a Horse

The present report describes an 8-year-old gelding presenting with signs of severe abdominal pain. After performing a thorough physical examination, including rectal palpation and additional diagnostic tests, an exploratory laparotomy was recommended. The jejunum was found herniated through the gast...

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Bibliographic Details
Published in:Journal of equine veterinary science 2012-12, Vol.32 (12), p.848-850
Main Authors: Dias, Deborah Penteado Martins, Pereira, Rodrigo Norberto, Canola, Paulo Aléscio, Dória, Renata Gebara Sampaio, Alessi, Antonio Carlos
Format: Article
Language:English
Subjects:
clinical examination
Colic
Equine
Gastric torsion
Gastrosplenic ligament
geldings
hernia
jejunum
laparotomy
ligaments
necropsy
pain
prognosis
Small intestine
stomach
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Summary:The present report describes an 8-year-old gelding presenting with signs of severe abdominal pain. After performing a thorough physical examination, including rectal palpation and additional diagnostic tests, an exploratory laparotomy was recommended. The jejunum was found herniated through the gastrosplenic ligament, and the stomach was severely distended with gas. Given a poor prognosis, the horse was euthanized on the table. At necropsy, the stomach appeared dilated, with an 180° horizontal gastric torsion, from left (lateral) to right (medial), dividing the organ into dorsal and ventral compartments. We believe that the chronic traction exerted by an incarcerated and distended loop of jejunum, in the dorsal aspect of the gastrosplenic ligament, associated with trauma during episodes of intense rolling, enlarged the rent until it ruptured. Because of this rupture, the lateral dorsal aspect of the stomach became unattached, predisposing it to the torsion.
ISSN:0737-0806
1542-7412
DOI:10.1016/j.jevs.2012.03.016