Spurlock G H, Robertson J T
Department of Veterinary Clinical Sciences, College of Veterinary Medicine, Ohio State University, Columbus 43210.
J Am Vet Med Assoc. 1988 Nov 1;193(9):1087-8.
Five foals were admitted because of colic that developed within 24 hours after birth. Physical examination revealed swelling from the inguinal region to the cranial aspect of the prepuce. Through the skin overlying the swelling, distended loops of bowel could be palpated. The hernias could be reduced with the foals restrained in dorsal recumbency. Surgical exploration showed the swelling to be an inguinal hernia with small bowel herniation through a rent in the common vaginal tunic. Concurrent rupture of the vaginal tunic should be suspected when a congenital inguinal hernia is associated with colic, swelling that extends to the prepuce, or intestine that is easily palpated within the hernial swelling. Repeated manual reduction in these cases would be of little benefit and surgical intervention would be recommended.
五匹新生马驹因出生后24小时内出现腹痛而入院。体格检查发现从腹股沟区到包皮头部肿胀。通过肿胀部位上方的皮肤，可触及扩张的肠袢。在马驹仰卧保定的情况下，疝内容物可还纳。手术探查显示肿胀为腹股沟疝，小肠通过阴道总鞘膜的一处裂口疝出。当先天性腹股沟疝伴有腹痛、肿胀延伸至包皮或在疝性肿胀内易于触及肠管时，应怀疑同时存在阴道总鞘膜破裂。在这些病例中反复手法还纳收效甚微，建议进行手术干预。
