NAVLE Gastrointestinal and Digestive

Equine Colic Study Guide

Colic is the leading cause of emergency presentation and death in horses, accounting for approximately 10-15% of all equine veterinary visits.

Overview and Clinical Importance

Colic is the leading cause of emergency presentation and death in horses, accounting for approximately 10-15% of all equine veterinary visits. The term encompasses any condition causing abdominal pain, though gastrointestinal disorders are the most common etiology. Understanding the classification, diagnosis, and management of colic is essential for NAVLE success.

The equine large colon presents unique anatomical challenges: it is 3-4 meters long, holds up to 76 liters, and critically, has minimal mesenteric attachments to the body wall. This mobility predisposes horses to displacements and volvulus. The large colon consists of the right ventral colon, sternal flexure, left ventral colon, pelvic flexure, left dorsal colon, diaphragmatic flexure, right dorsal colon, and transverse colon.

Classification Examples Key Features
Nonstrangulating Obstruction Impaction, enteroliths, sand colic Lumen blocked, blood supply intact; mild-moderate pain; often medical treatment
Strangulating Obstruction Large colon volvulus greater than 270 degrees, small intestinal strangulation Blood supply compromised; severe pain; immediate surgery required
Displacement Nephrosplenic entrapment (LDD), right dorsal displacement Colon moves out of normal position; variable treatment
Inflammatory/Functional Enteritis, colitis, peritonitis, spasmodic colic Inflammation or motility dysfunction; diarrhea or fever possible

Classification of Equine Colic

Equine colic can be classified by mechanism, location, and whether medical or surgical intervention is required.

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