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Surgical management of duodenal obstruction in an adult horse
Authors:M W Ross  W V Bernard  P G Orsini  T S Ford
Institution:Department of Clinical Sciences, School of Veterinary Medicine, University of Pennsylvania, New Bolton Center, Kennett Square 19348-1692.
Abstract:A 3-year-old Standardbred stallion was admitted for treatment of acute enterocolitis. The horse improved in response to empiric treatment, but subsequently developed ventral edema, scrotal abscessation, and severe laminitis. Improvement again was seen, but on day 29 of hospitalization, the horse developed rapid heart rate and signs of abdominal pain. Exploratory celiotomy revealed complete obstruction of the descending portion of the duodenum, 20 cm caudal to the duodenal sigmoidal flexure. Three-tier duodenojejunostomy and jejunojejunostomy were performed to bypass the duodenal obstruction.
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