Left dorsal displacement/nephrosplenic entrapment

Birker2020

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Has anyone's horse been treated for this?

What was the outcome?

Did the horse require surgery or the drug phenylphrine or did loads of lunging help the situation?

My horse was diagnosed with this earlier this evening by my vet who gave him a rectal examination. I've just come back from the yard where I have been lunging him in an effort to try and get the displacement moved away from where it is trapped by the spleen on the recommendation of the vet. Bailey is nil by mouth. Fortunately he is not dehydrated although he has electrolytes in his water just in case. The vet has said he will come back at 11am tommorow but is hopefull that it should clear by itself with the lunging I have been doing.

If not Bailey will need to be given phenylephrine but my vet isn't really very happy about this as it is a bit of a dodgy drug to give with horses who have second degree heart block which is what Bails has as it can cause a heart attack.

I am more than a little worried about him tonight and hoping when I get to the yard in the morning he is better. His colic came on suddenly. The vet says he is full of grass. He had half his tea and then started pawing at the ground, rolling in his stable and then rolling in the menage when I was walking him around before the vet arrived. He was also sweating and his gums were very pale but his temperature was normal. He also poohed a very small amount, something which I noticed immediately on our hack earlier today, apparently this is a symptom too.

The vet doubts he will need surgery and says there is only a 5% chance of this needing to happen thank God.
 
I knew I had read about a similar situation yesterday, Arctic Fox went through this recently with her horse, good outcome, check out her report on the RHS working hunter in comp riders, page 3.
 
Spent half my night shifts at vet school lunging horses with this problem. Very few ever had to go for surgery. Fingers crossed.
 
My last horse had this and the lungeing did manage to sort out the nephrosplenic entrapment without the need for surgery.
Unfortunately with my lad the reason he had colic'd and caused this was a lot more complicated and it was not a good outcome in the long run, but if the reason for the colic was something fairly simple then there is every chance of a good outcome (the vet said this entrapment usually occcurs when the horse is rolling and thrashing about so comes about as a result of the colic, it does not start the colic if you know what I mean!).
Good luck and let us know how he gets on.
 
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My horse has had this twice, last time was a couple of months ago. Has never needed surgery and both times has righted itself with lots and lots of lunging. Hope he makes a quick recovery.
 
Mine did need surgery for this, but the out come was good & he's still with me 4 years later. I hope Bailey is ok this morning.
 
Mine had this and resolved after a couple of days. He stayed at the vets and was lunged every couple of hours for two days.... He was fine, just lost a lot of weight being kept nil by mouth....
 
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