Estudo retrospectivo dos distúrbios cecais em equinos.

Abstract

Among the kinds of equine colic, the ones whose origin is the caecum comprise only 2% of the referrals. Therefore, the objective of this research was to do a case study of caecum originated colic syndrome in equines treated at Equestre Clínica, Cirurgia e Reprodução. The data was obtained from the clinic’s caseload between June 2015 and September 2020. The patients’ charts were selected and evaluated to collect data regarding breed, age, gender, clinical exams of the initial emergency care, treatment received (clinical and/or surgical) and outcome (hospital discharge, euthanasia, or death). Besides the analysis of patients’ records which were diagnosed with caecal dysfunctions, a retrospective survey of all the colic syndrome cases was made to quantify caecum colic ones. After the gathering, data was distributed in Microsoft Excel 2016 Spreadsheet and was submitted to the analysis of frequency and relative frequency. The case-by-case quantitative analysis of colic syndrome showed that 6,94% (n = 10) of cases correspond to caecal colic syndrome. Regarding breed, age and gender, all horses (n = 10) were Quarter Horses, 60% (n = 6) were younger than 10 years-old and 80% (n = 8) were male. On the values of physical examination of animals, 70% (n = 7) had their HR within the physiological patterns of the species, as well as half of the animals (50%; n = 5) for the values of RF and CRT’s. 70% (n = 7) of the equines had changes of intestinal motility, of which 30% (n = 3) were atony and 40% (n = 4) hypomotility. In 60% of the patients, pain was controlled with the use of analgesics, such as metamizole (25 mg/kg), exhibiting slight intermittent pain signals, according to the frequency and intensity of pain values, which were both 40% (n = 4). Analgesic relapse occurred in 50% (n = 5) of the patients, but all cases had controllable pain with the use of pain killers. It can be said that all cases (n = 10) were of caecal compaction, where 50% (n = 5) of them ruptured. In 70% (n = 7) of the cases, surgical treatment was performed. obtaining 42.8% of discharge, while all horses submitted to clinical treatment (20%; n = 2) were discharged. In relation to the outcome of the cases, 50% (n = 5) of the animals were discharged, 40% (n = 4) were euthanized and 10% (n = 1) died. Although caecal colic syndromes are not frequent clinically, their occurrence in digestive system affections of horses represents a great challenge to equine practitioners and surgeons, once its symptomatology is not clear, raising the need for additional researches which will standardize its physiopathogenesis, allowing the identification of the disease during the clinical examination.