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Hepatic Lobe Torsion as a Cause of Colic in a Horse
Authors:TRACY A TURNER DVM  MS  Diplomate ACVS    CYNTHIA A BROWN dvm    JULIA H WILSON DVM  Diplomate ACVIM    LOIS ROTH DVM  Diplomate ACVP    DIANA S ROSENSTEIN DVM    CHRISTINE M SCHWEIZER dvm  KRISTINE A WOODAMAN dvm
Institution:Rochester Equine Clinic, Rochester, New Hampshire;University of Florida, Department of Comparative Pathology, Gainesville, Florida.
Abstract:A 14-year-old Arabian gelding was examined for colic. An exploratory celiotomy was subsequently performed and the left lobe of the liver was found to be twisted. The lobe was resected using a TA-90 surgical stapling instrument. Histologic examination of the resected liver indicated portal vein and sinusoid dilation and congestion with blood. There were focal areas of necrosis and bacterial cocci and rods throughout the section. The histologic findings were consistent with hepatic lobe torsion. After surgery, the horse was treated with broad spectrum antibiotics, anti-inflammatory drugs, heparin, and intravenous fluids. The horse recovered without complications, although serum liver enzymes remained elevated for more than 1 week after surgery. Seven months after surgery the horse showed no adverse affects from the disease.
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