Left dorsal displacement of the large colon with a nephro-splenic entrapment is often described as an “intestinal accident” because there may be no obvious cause. In this displacement, the left colon slides from its usually position up between the spleen and body wall and ends up trapped on a ligament between the left kidney and spleen.
The condition is characterized by signs of mild to moderate abdominal pain (colic). In some cases, horses with this condition will have obvious distention of their left abdomen. A definitive diagnosis of this condition is commonly reached in a standing horse with a careful rectal examination and the use of ultrasound.
This diagnosis is more commonly seen in Arabian and Warmblood breeds, but it can occur in any breed of horse. The condition may start as simple gas accumulation, impaction, spasm or abnormal motility which leads to the displacement.
A surgical procedure exists wherein the nephrosplenic space is closed, removing that “trap” for the colon and making displacement less common but not impossible.
Other Diagnoses Considered
Treatments May Include
Prognosis & Relevant Factors
Prognosis depends on the duration of entrapment, the amount of gas distention within the colon, and the severity of colic pain. Whether surgery is elected depends on success of non-surgical correction.
There is 5-20% chance of recurrence of this type of displacement.
I Might ObserveRelated Observations
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