Idiopathic focal eosinophilic enteritis associated with ileocaecal and ileal obstruction in a 10-year-old warmblood gelding
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Date
Authors
Piketh, Graeme
Henning, Alischa
Smit, Yolandi
Journal Title
Journal ISSN
Volume Title
Publisher
Wiley
Abstract
A 10-year-old, 600-kg, warmblood gelding was referred due to persistent colic, non-responsive to medical treatment. Diagnostic evaluation revealed abdominal distention, tachycardia and distended small intestines. Preoperative blood testing revealed an increased packed cell volume and normal total white cell count, whereas an abdominocentesis revealed raised peritoneal fluid lactate. Exploratory laparotomy was performed and revealed a circumferential band of thickened tissue and hyperaemia in the distal jejunum, as well as marked wall thickening of the distal ileum and ileocaecal valve, leading to complete luminal obstruction. Due to financial constraints and complications associated with jejuno-caecostomy, the owner requested the horse to be humanely euthanased. Postmortem examination findings revealed a circumferential constriction of the distal ileum and ileocaecal valve. Histopathology of the affected segments was characterised by a large population of eosinophils within the mucosa, submucosa and muscularis layers in conjunction with severe submucosal oedema. A diagnosis of idiopathic focal eosinophilic enteritis was made.
Description
Keywords
Idiopathic focal eosinophilic enteritis (IFEE), Warmblood gelding
Sustainable Development Goals
Citation
Piketh, G., Henning, A. & Smit, Y. Idiopathic focal eosinophilic enteritis associated
with ileocaecal and ileal obstruction in a 10-year-old
warmblood gelding. Veterinary Record Case Reports 2022; 10: e421.
https://doi.org/10.1002/vrc2.421.