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Surgical Treatment of an Abdominal Abscess Caused by a Migrating Iron Wire From the Ventral Colon,a Case Report
Institution:1. Department of Veterinary Medicine, Animal Reproduction, Faculty of Veterinary Medicine and Animal Science, Federal University of Mato Grosso do Sul, Campo Grande, Brazil;2. Department of Veterinary Medicine, Surgery and Anesthesiology, Faculty of Veterinary Medicine and Animal Science, Federal University of Mato Grosso do Sul, Campo Grande, Brazil;3. Department of Veterinary Medicine, Federal University of Mato Grosso do Sul, Campo Grande, Brazil;1. Large Animal Clinical Sciences, University of Florida, Gainesville, FL, USA;2. Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, FL, USA;1. Maxwell H. Gluck Equine Research Center, Department of Veterinary Science, University of Kentucky, Lexington, KY, USA;2. Veterinary Diagnostic Laboratory, Department of Veterinary Science, University of Kentucky, Lexington, KY, USA;3. Department of Large Animal Sciences, University of Copenhagen, Taastrup, Denmark;4. East Tennessee Clinical Research, Inc., Rockwood, TN, USA;1. Department of Molecular Pathology, Shinshu University Graduate School of Medicine, Matsumoto, Japan;2. Division of Gastroenterology, Department of Medicine, Shinshu University School of Medicine, Matsumoto, Japan;3. Division of Tumor Pathology, Department of Pathological Sciences, Faculty of Medical Sciences, University of Fukui, Eiheiji, Japan
Abstract:A 13-year-old mare presented for evaluation of recurrent colic episodes. The horse was diagnosed with a mass within the spleen at the ultrasound examination of the abdomen; the levels of Serum Amyloid A and the fibrinogen were high and so a presumptive diagnosis of an abscess involving the spleen was made base on clinical, ultrasonographic and laboratory findings and it was decided to perform n exploratory laparotomy for a definitive diagnosis and possible treatment. Upon abdominal exploration a mass involving the spleen, the lateral wall of the ventral colon adherent to the left abdominal wall was diagnosed and with an intraoperative ultrasound examination a linear hyperechoic foreign body was diagnosed within the mass. It was removed through an enterotomy of the left ventral colon that allowed the digital exploration of the mass without spilling of pus within the peritoneal cavity. The horse was discharged and the long term follow-up revealed no complications and no more signs of abdominal pain.
Keywords:Colic  Foreign body  Laparotomy  Large colon  Abdominal abscess
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