Clinical features, anaesthetic management and perioperative complications seen in three horses with pheochromocytoma

Three horses presenting with colic signs to the Equine Referral Hospital at The Royal Veterinary College underwent general anaesthesia between September 2013 and November 2017 for emergency exploratory laparotomy. No obvious cause for the colic signs was identified in two horses, while a haemoperito...

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Bibliographic Details
Published in:Veterinary record case reports 2019-03, Vol.7 (1), p.n/a
Main Authors: Norgate, Daisy Jessica, Foster, Andrew, Dunkel, Bettina, Spiro, Simon, Veres-Nyeki, Kata
Format: Article
Language:English
Subjects:
Abdomen
adrenal gland
anaesthesia
Anesthesia
Blood pressure
Cardiac arrhythmia
Case reports
Diagnostic tests
Horses
Hyperglycemia
Metabolism
Metabolites
Pain
Tumors
Ultrasonic imaging
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Summary:Three horses presenting with colic signs to the Equine Referral Hospital at The Royal Veterinary College underwent general anaesthesia between September 2013 and November 2017 for emergency exploratory laparotomy. No obvious cause for the colic signs was identified in two horses, while a haemoperitoneum was identified in the third. All horses were euthanased within 12 hours of surgery due to deteriorating haemodynamic instability and/or intractable pain. Postmortem examination revealed an adrenal mass in each case, confirmed to be a pheochromocytoma on histopathology. In retrospect, each horse had some hallmark characteristics consistent with a functional pheochromocytoma, including hyperglycaemia and hyperlactataemia. Extremely high packed cell volume (PCV) (>65 per cent) was also identified in two horses, with a high-normal PCV found in the haemoperitoneum case. Perioperative haemodynamic instability was predominantly characterised by episodes of intermittent hypertension and tachycardia.
ISSN:2052-6121
2052-6121
DOI:10.1136/vetreccr-2018-000744