Secondary approaches to the abdominal cavity for horses with signs of colic may be key to successful resolution of an either very proximal or very distal small colon obstruction

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Equine emergency colic surgery is one of the most common surgeries performed. Small colon obstructions (as the cause of the exploratory celiotomy) are relatively infrequently diagnosed (2–5%). The most frequently seen small colon problems are small colon impactions, a small colon faecalith, small colon enterolith(s), small colon lipomas and small colon foreign bodies. Less frequently, a diagnosis of rents in the small colon mesentery, damage to the small colon vascular supply after a foaling accident or intramural masses are made.

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