Management of a Traumatic Penetrating Abdominal Wound and Associated Complications in a Horse
2018
Fontenot, Robin L. | Crabtree, Naomi E. | Hollier, Hayley D. | Mochal-King, Cathleen A. | Eddy, Alison L.
An 8-year-old American Quarter Horse mare presented for acute, traumatic lacerations sustained along the ventral abdomen and hind limbs after an accident involving a manure spreader. A penetrating abdominal wound, extended through the peritoneum, was explored surgically. Peritoneal fluid drained from the abdominal wound for approximately 14 days, which was managed with absorbent bandages and a hernia belt. Wound debridement was augmented with medical maggot therapy initiated on day 11 of hospitalization. On day 37 of hospitalization, febrile episodes and a draining tract along the right lateral abdominal wall prompted ultrasonic examination, leading to the identification and retrieval of 12 sequestered costochondral fragments. The mare was discharged 69 days after presentation with a well granulated, contracting wound bed. This case report describes the management of an open, penetrating, ventral abdominal wound in a horse with a functional outcome.
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