Peritonitis / Strangulated Liver

Spykey

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Has any one ever come accross this with their horse?
Saturday morning i arrived to find my much loved 14 year old horse (who i have owned since he was 2) breathing very heavily and reluctant to move. his head was almost to the ground, he did not want to pick it up. He had only eaten half his net and 2 droppings all night. he usually does about 6 or 7. His bed didnt seem trashed. although 1 of his droppings was on his bankings and he never does this on his bankings. The vet came and he had a heart rate of 80. (60 is considered high) His circulation was poor. His legs were very cold. I was told he was very poorley. He was given some pain relief and some antibiotics. A rectal examination was carried out and all seemed fine in there. The vet returned a couple of hours later. His heart rate had not changed, his circulation was the same. She informed me again that he was very poorley and that it was suspected peritonitis. She returned again in the evening and started to wonder if he had inpacted colic. Heart rate was the same and circulation was the same. He has not passed any droppings all morning or had a wee.

She performed a rectal examination and found a bit of a blockage.
She inserted a tube up his nose and gave 3 jugs of epsom salts and water. this seemed to go down without any problems. she then gave him some different antibiotics and some more pain relief. I stayed with him all night and he did 5 droppings. he also had a couple of wees but he did struggle and had to stretch very hard to make one come out. the color was quite brown. i actually think there was a bit of blood in maybe. he was drinking throughout the night. and pickign at his haylage and sugar beet. he did seem a little restless but his head had picked up off the ground and he was a lot more alert. he did try a few times during the night to kick his stomach with his near hind. he only attemped to get down once and roll, and he only made it to his knees and got straight back up.

On sunday morning i opened his door and let him walk a little. he would take a few steps then stand still.. then take a few more and stand again. i let him "roam" in the indoor arena for about an hour. i then decided to put him back in his stable as he may have wanted a drink. i had to get someone to push him from behind as he was reluctant to walk. his breating had settled a little. (still not where near his normal self)

when the vet came back on sunday afternoon, his heart rate had not changed, his circulation had improved slightly, and he had had maybe 1 poo. and 1 week. (brown in color) She was very worried about him. she performed another rectal examination and he had about 7 pieces of small solid droppings in there. they sounded like stones as they hit the floor. she did the same with the tube again up his nose and with the epsom salts. she could only fit 2 jugs in this time as he was pretty full. she had to sedate him for this as she did not want him to be too uncomfortable knowing he had it done the previous night. the vet told me to ring if he changed for the worst at any time. as his sedation wore off his breathing becaame heavier and heavier. he was walking round and round his stable and trying to get down. when he got down he jumped straight back up and shot backwards a few strides. he tried to get down again but i managed to stop him. i was very worried so rang the vet and she said he will most probably be uncomfortable due to amount of fluid in his stomach. i let him out of his stable and he was walking round the indoor nibbling at bits of hay and haylage and water. this lasted about an hour then he did not want anyhtign to eat. he then started to walk sideways and backwards. it was like he was disorientated. he was trying to kick his stomach again with his near hind. we rang her again and she told us he had the most pain killers possible and she couldent give him anymore so we needed to decide wether or not to pts or to send to leahurst. he was not capable of travelling in a box for 1 hour. he could hardly stand up. we were just hoping and praying he would have a poo and feel a little btter but he didnt. he then kept trying to get down, we wouldent let him but every step he took he just wanted to get down. he managed to get down and he dropped to the floor with his legs off the ground. he was strugging to breathe and didnt even attempt to roll. his head was lay on the ground. the vet was on her way she was here within minutes. he got up and she checked his heart rate. this had increased to plus 80! his gums were purple so we had to put him down.

a post mortem was carried out monday morning and the vet was absoloutely shocked at what had happened. the first inspection showed peritonitis as suspected, further examination found a small part of his liver ( approx 1/10th) was completely strangulated by a mesh webb that covers the internal organs. it was wrapped in a way that looked like it had been tied round and round and round by a human!!! the vet had to take pictures as she had never ever seen anything like this before.

We still do not know what has caused this. he was perfectly fine on thursday and friday night when i left at 9pm.
has any one ever had or heard about anything like this before???

RIP SPYKE XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
 
So sorry to read your sad tale. I can't say I've heard of this happening but I read the first part of your message and thought it sounded very familiar. My horse was very poorly last winter with symptoms just as you describe. It turned out that she had cholangea hepatitis, infection of the bile ducts. They did liver biopsies. After two weeks in hospital, lots of drugs and nursing she made a full recovery and is healthier than ever at present, age 18 yrs.
Very sorry that yours didn't make it.
 
So very sorry to hear your sad story about Spyke. You were very brave and did all you could for him, its so difficult to make the decision I know, and you never know if you should keep waiting to see if they get any better.

You did all you could bless you.

My friends horse had peritonitis and was very sick and then had a reaction to an injection which sent him into an anaphylactic shock. She was very lucky not to lose him.
 
I have spoken to my vet again and it was a part of his omentum that was wrapped round. I have seen the pictures and it is absolutely mind baffling how this could have happened, not only for it to be wrapped round so many times but to have even got caught the first time. She is sending pictures off to lea hurst and a full report to see if they have ever come across this before. I have searched the internet and cannot find anything at all to say this has happened before. On another note ... This is typical Spyke. He likes to be different and stand out from the crowd! Ps: missing him sooooo much he was my baby! Xxx
 
I have spoken to my vet again and it was a part of his omentum that was wrapped round. I have seen the pictures and it is absolutely mind baffling how this could have happened, not only for it to be wrapped round so many times but to have even got caught the first time.

I know this extract relates to castration but its interesting insomuch as it explains that the omentum can migrate to a place where there is damage or infection. Maybe the liver was damaged and the omentum migrated there in order to isolate the problem.

In some horses, a piece of omentum (a thin, filmy, fat-filled tissue within the abdomen) can protrude through the open skin incision. Omentum acts as the ‘policeman’ of the abdominal cavity in that, if there is any problem in this area, it will migrate there either to fill a hole (such as left by castration), or to isolate an abnormality (such as an infection or damage to intestine). Protrusion of a piece of omentum can be a worrying sight because it can appear like the far more serious complication of evisceration (protrusion of the intestine) but, in fact, it can be easily treated.

http://www.ucd.ie/vetanat/images/90.gif here is a diagram of the omentum in a horse.
 
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