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Nekrotisierende Kolitis bei einem maturen neugeborenen Fohlen


Wehrli Eser, Meret; Feige, Karsten; Fürst, Anton (2002). Nekrotisierende Kolitis bei einem maturen neugeborenen Fohlen. Pferdeheilkunde, 18(5):451-456.

Abstract

Necrotizing enterocolitis (NEC) in preterm neonates is associated with symptoms of ileus occurring within the first days to weeks of live. The present case describes a mature colt with intermittent colic 20 hours post partum. Prominent clinical findings included a rectal temperature of 36.9°C, hyperperistalsis and mild abdominal distension. Immunoglobulin concentration and plasma protein concentration were decreased with < 400 mg/dl and 50 g/l, respectively. Radiology of the abdomen revealed moderate meteorism and multiple air-fluid levels. Following initial conservative therapy a laparotomy was performed. Moderate tympania and severe thickening of the intestinal wall with a grey and blue discoloration of the ascending colon were present. Because of progressive disease the colt was euthanised one day after surgery. Histology showed a severe, acute, transmural, catarrhal colitis with fibrinoid angiodegeneration and necrosis of the submucosa. Clinical, surgical and histologic findings are consistent with necrotizing colitis. The etiology of NEC is unknown, however, a multifactorial pathogenesis is discussed.

Necrotizing enterocolitis (NEC) in preterm neonates is associated with symptoms of ileus occurring within the first days to weeks of live. The present case describes a mature colt with intermittent colic 20 hours post partum. Prominent clinical findings included a rectal temperature of 36.9°C, hyperperistalsis and mild abdominal distension. Immunoglobulin concentration and plasma protein concentration were decreased with < 400 mg/dl and 50 g/l, respectively. Radiology of the abdomen revealed moderate meteorism and multiple air-fluid levels. Following initial conservative therapy a laparotomy was performed. Moderate tympania and severe thickening of the intestinal wall with a grey and blue discoloration of the ascending colon were present. Because of progressive disease the colt was euthanised one day after surgery. Histology showed a severe, acute, transmural, catarrhal colitis with fibrinoid angiodegeneration and necrosis of the submucosa. Clinical, surgical and histologic findings are consistent with necrotizing colitis. The etiology of NEC is unknown, however, a multifactorial pathogenesis is discussed.

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Additional indexing

Other titles:Necrotizing enterocolitis in a mature newborn foal
Item Type:Journal Article, refereed, original work
Communities & Collections:05 Vetsuisse Faculty > Veterinary Clinic > Equine Department
Dewey Decimal Classification:570 Life sciences; biology
630 Agriculture
Uncontrolled Keywords:abdominal distension; abdominal radiography; antibody detection; article; ascending colon; clinical feature; colic; conservative treatment; controlled study; degeneration; disease course; euthanasia; histopathology; horse; intestine wall; laparotomy; male; meteorism; necrosis; necrotizing enterocolitis; newborn; nonhuman; pathogenesis; peristalsis; protein determination; puerperium; rectum temperature; submucosa; thickness
Language:German
Date:2002
Deposited On:30 Jul 2012 14:48
Last Modified:02 May 2016 15:10
Publisher:Hippiatrika Verlag GmbH
ISSN:0177-7726
Permanent URL: http://doi.org/10.5167/uzh-61515

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