Ablation of the nephrosplenic space for treatment of recurring left dorsal displacement of the large colon in a racehorse
Zekas, L.J.; Ramirez, S.; Brown, M.P.
Journal of the American Veterinary Medical Association 214(9): 1361-1363; 1335
1999
ISSN/ISBN: 0003-1488 PMID: 10319180 Document Number: 502024
Left dorsal displacement of the large colon was diagnosed in a 3-year-old Thoroughbred gelding. Conservative treatment that included lunging after administration of phenylephrine and rolling while under general anesthesia was not successful. The displaced segment of colon was reduced surgically through a ventral midline incision, but displacement recurred 4 days after surgery. Ablation of the nephrosplenic space by suturing the nephrosplenic ligament to the splenic capsule was performed through the left flank. At followup 1 year after surgery, the horse had not had further signs of colic and had returned to racing. Other methods to prevent large colon displacement, including colon resection and colopexy, are not recommended for athletic horses. Ablation of the nephrosplenic space, however, may be efficacious.