Document Detail


Distal aortic aneurysm presumed to be secondary to an infected umbilical artery in a foal.
MedLine Citation:
PMID:  22175433     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CASE HISTORY: A 3-month-old female Warmblood foal was presented after displaying signs of colic with pyrexia for 5 days.
CLINICAL AND PATHOLOGICAL FINDINGS: The foal continued to show signs of colic, frequently passed urine, and was pyrexic with an elevated white blood cell count. The umbilical stalk was thickened but there was no evidence of purulent material. Exploratory laparotomy revealed an enlarged left umbilical artery remnant tightly adhered to the bladder wall. The left umbilical artery continued to an aneurysm involving the distal aorta. The foal was subject to euthanasia and post-mortem examination confirmed a spherical aortic aneurysm, in the dorsal midline caudal to the kidneys that contained a large thrombus. Histopathological examination revealed inflammation and necrosis of the tunica intima and tunica media of the left umbilical artery with suppuration and bacterial colonies evident in the periarterial tissues.
DIAGNOSIS: Infected aortic aneurysm presumably caused by an umbilical artery infection.
CLINICAL RELEVANCE: A previously undetected umbilical infection appears to have resulted in an unusual delayed complication causing signs of colic in a foal. Veterinarians should be aware of this condition, and the possibility that it may be a cause of signs of colic in foals. Diagnosis based on ultrasonography should be possible, but may require sedation, visceral analgesia and careful examination.
Authors:
R M Archer; S J G Gordon; H B Carslake; M G Collett
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  New Zealand veterinary journal     Volume:  60     ISSN:  0048-0169     ISO Abbreviation:  N Z Vet J     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2011-12-19     Completed Date:  2012-03-01     Revised Date:  2012-09-10    
Medline Journal Info:
Nlm Unique ID:  0021406     Medline TA:  N Z Vet J     Country:  New Zealand    
Other Details:
Languages:  eng     Pagination:  65-8     Citation Subset:  IM    
Affiliation:
Massey University Veterinary Teaching Hospital, Institute of Veterinary, Animal and Biomedical Sciences, Massey University, Private Bag 11222, Palmerston North 4442, New Zealand. m.archer@massey.ac.nz
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MeSH Terms
Descriptor/Qualifier:
Animals
Aortic Aneurysm / etiology,  veterinary*
Bacterial Infections / complications,  veterinary*
Female
Horse Diseases / etiology*
Horses
Umbilical Arteries / pathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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