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Caecal intussusception in the horse : ultrasonographic findings and survival to hospital discharge of 60 cases (2009-2013)

Ellen Paulussen (UGent) , Barbara Broux (UGent) , Thomas van Bergen (UGent) , Laurence Lefère (UGent) , Dominique De Clercq (UGent) and Gunther van Loon (UGent)
(2018) EQUINE VETERINARY EDUCATION. 30(5). p.241-246
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Abstract
Diagnosis of caecal intussusception can be challenging. Transabdominal ultrasound is often used as a diagnostic tool in equine colic. Differentiation between caecocaecal and caecocolic intussusception might be useful in the decision process before surgery. The aims of this study were: 1) to assess the usefulness of ultrasound for diagnosis of intussusception and differentiation between caecocaecal and caecocolic intussusception; and 2) to determine survival to hospital discharge after surgery. Therefore, a retrospective case series (2009-2013) was performed of all colic cases with caecal intussusception (n=60) confirmed at surgery or necropsy. In all horses, the intussusception could be visualised using ultrasound at admission. Caecocolic intussusception (n=46) was much more common than caecocaecal (n=14) intussusception and correct ultrasonographic differentiation between both types could be made in 92% of the cases. Ten horses (out of 14) diagnosed with caecocaecal intussusception underwent surgery, of which 8/10 (80%) were discharged, one horse (10%) was subjected to euthanasia during and one (10%) after surgery. Of the 28 (out of 46) operated horses with caecocolic intussusception, 17 (61%) survived to discharge, while 7 (25%) and 4 (14%) were subjected to euthanasia during and after surgery, respectively. Of all horses that underwent surgery, in 13/38 (34%) surgical reduction was possible, while 13/38 (34%) needed partial typhlectomy and 4/38 (11%) needed colostomy because of an irreducible intussusception. Survival to discharge after successful surgery was 12/13 (92%) when only reduction was performed, 11/13 (85%) if partial typhlectomy was needed and 2/4 (50%) after colostomy and partial typhlectomy. In conclusion, abdominal ultrasound is a useful tool in the diagnosis and differentiation of caecal intussusception. Survival to hospital discharge after successful surgery is good.
Keywords
horse, colic, caecocaecal, caecocolic, ultrasonography, invagination, NONREDUCIBLE CECOCOLIC INTUSSUSCEPTION, EQUINE ACUTE ABDOMEN, SURGICAL-TREATMENT, TAPEWORMS, DIAGNOSIS, DISEASE

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Chicago
Paulussen, Ellen, Barbara Broux, Thomas van Bergen, Laurence Lefère, Dominique De Clercq, and Gunther van Loon. 2018. “Caecal Intussusception in the Horse : Ultrasonographic Findings and Survival to Hospital Discharge of 60 Cases (2009-2013).” Equine Veterinary Education 30 (5): 241–246.
APA
Paulussen, E., Broux, B., van Bergen, T., Lefère, L., De Clercq, D., & van Loon, G. (2018). Caecal intussusception in the horse : ultrasonographic findings and survival to hospital discharge of 60 cases (2009-2013). EQUINE VETERINARY EDUCATION, 30(5), 241–246.
Vancouver
1.
Paulussen E, Broux B, van Bergen T, Lefère L, De Clercq D, van Loon G. Caecal intussusception in the horse : ultrasonographic findings and survival to hospital discharge of 60 cases (2009-2013). EQUINE VETERINARY EDUCATION. 2018;30(5):241–6.
MLA
Paulussen, Ellen, Barbara Broux, Thomas van Bergen, et al. “Caecal Intussusception in the Horse : Ultrasonographic Findings and Survival to Hospital Discharge of 60 Cases (2009-2013).” EQUINE VETERINARY EDUCATION 30.5 (2018): 241–246. Print.
@article{8531359,
  abstract     = {Diagnosis of caecal intussusception can be challenging. Transabdominal ultrasound is often used as a diagnostic tool in equine colic. Differentiation between caecocaecal and caecocolic intussusception might be useful in the decision process before surgery. The aims of this study were: 1) to assess the usefulness of ultrasound for diagnosis of intussusception and differentiation between caecocaecal and caecocolic intussusception; and 2) to determine survival to hospital discharge after surgery. Therefore, a retrospective case series (2009-2013) was performed of all colic cases with caecal intussusception (n=60) confirmed at surgery or necropsy. In all horses, the intussusception could be visualised using ultrasound at admission. Caecocolic intussusception (n=46) was much more common than caecocaecal (n=14) intussusception and correct ultrasonographic differentiation between both types could be made in 92\% of the cases. Ten horses (out of 14) diagnosed with caecocaecal intussusception underwent surgery, of which 8/10 (80\%) were discharged, one horse (10\%) was subjected to euthanasia during and one (10\%) after surgery. Of the 28 (out of 46) operated horses with caecocolic intussusception, 17 (61\%) survived to discharge, while 7 (25\%) and 4 (14\%) were subjected to euthanasia during and after surgery, respectively. Of all horses that underwent surgery, in 13/38 (34\%) surgical reduction was possible, while 13/38 (34\%) needed partial typhlectomy and 4/38 (11\%) needed colostomy because of an irreducible intussusception. Survival to discharge after successful surgery was 12/13 (92\%) when only reduction was performed, 11/13 (85\%) if partial typhlectomy was needed and 2/4 (50\%) after colostomy and partial typhlectomy. In conclusion, abdominal ultrasound is a useful tool in the diagnosis and differentiation of caecal intussusception. Survival to hospital discharge after successful surgery is good.},
  author       = {Paulussen, Ellen and Broux, Barbara and van Bergen, Thomas and Lef{\`e}re, Laurence and De Clercq, Dominique and van Loon, Gunther},
  issn         = {0957-7734},
  journal      = {EQUINE VETERINARY EDUCATION},
  keyword      = {horse,colic,caecocaecal,caecocolic,ultrasonography,invagination,NONREDUCIBLE CECOCOLIC INTUSSUSCEPTION,EQUINE ACUTE ABDOMEN,SURGICAL-TREATMENT,TAPEWORMS,DIAGNOSIS,DISEASE},
  language     = {eng},
  number       = {5},
  pages        = {241--246},
  title        = {Caecal intussusception in the horse : ultrasonographic findings and survival to hospital discharge of 60 cases (2009-2013)},
  url          = {http://dx.doi.org/10.1111/eve.12798},
  volume       = {30},
  year         = {2018},
}

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