Management of enterocutaneous fistula associated with an umbilical hernia in a two-year-old horse

Enterocutaneous fistula (ECF) occurs when there is open communication between the lumen of intestine and the skin. This report describes a two-year-old, American Quarter Horse filly presented with an acute ECF involving the ileum entrapped within an umbilical hernia. After four days of conservative therapy and worsening of hydration status and electrolyte and acid-base imbalances, surgical correction of the ECF was performed. The filly was stable 24 hours after surgery and eventually made a full recovery.

[1]  S. Azizi,et al.  Surgical Management of the Trauma-Induced Colocutaneous Fistula in a Horse , 2013 .

[2]  Christopher L. H. Chan,et al.  Establishing a regional enterocutaneous fistula service: the Royal London hospital experience. , 2013, International journal of surgery.

[3]  Eric K. Johnson,et al.  Controversies in the care of the enterocutaneous fistula. , 2013, The Surgical clinics of North America.

[4]  S. Dibartola.  Chapter 10 – Metabolic Acid-Base Disorders , 2006 .

[5]  O. Chara,et al.  Management of external small bowel fistulae: challenges and controversies confronting the general surgeon. , 2011, International journal of surgery.

[6]  V. Sangwan,et al.  Surgical Management of Enterocutaneous Fistula in a Mare , 2010 .

[7]  S. Wexner,et al.  Enteric fistulas: principles of management. , 2009, Journal of the American College of Surgeons.

[8]  N. White,et al.  Surgical complications of colic surgery. , 2008, The Veterinary clinics of North America. Equine practice.

[9]  M. Fahie,et al.  Evidence-based wound management: a systematic review of therapeutic agents to enhance granulation and epithelialization. , 2007, The Veterinary clinics of North America. Small animal practice.

[10]  L. Southwood,et al.  Surgical and traumatic wound infections, cellulitis, and myositis in horses. , 2006, The Veterinary clinics of North America. Equine practice.

[11]  A. Dart,et al.  Topical treatments in equine wound management. , 2005, The Veterinary clinics of North America. Equine practice.

[12]  William E. Jones,et al.  The Veterinary Clinics of North America , 2003 .

[13]  D. Freeman,et al.  Abdominal closure and complications , 2002 .

[14]  J. Rubash,et al.  Metabolic acid-base disorders. , 2001, The Veterinary clinics of North America. Small animal practice.

[15]  W. Back,et al.  Incarcerated umbilical hernia with enterocutaneous fistulae in two foals , 1997 .

[16]  Bristol Dg.  Enterocutaneous fistulae in horses: 18 cases (1964 to 1992) , 1994 .

[17]  D G Bristol,et al.  Enterocutaneous fistulae in horses: 18 cases (1964 to 1992). , 1994, Veterinary surgery : VS.

[18]  D. Freeman,et al.  Complications of umbilical hernias in horses: 13 cases (1972-1986). , 1988, Journal of the American Veterinary Medical Association.

[19]  M. Markel,et al.  Strangulated umbilical hernias in horses: 13 cases (1974-1985). , 1987, Journal of the American Veterinary Medical Association.