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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.

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.

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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:19 Feb 2018 21:39
Publisher:Hippiatrika Verlag GmbH
ISSN:0177-7726
OA Status:Green

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