Klein Chelsea, Caston Stephanie, Troy Jarrod
Veterinary Clinical Sciences Iowa State University Ames Iowa USA.
Performance Equine Vets Aiken South Carolina USA.
Clin Case Rep. 2022 Aug 24;10(8):e6274. doi: 10.1002/ccr3.6274. eCollection 2022 Aug.
Septic omphalophlebitis is a common disease process with a variety of morbidities and possible mortality. Affected umbilical remnant resection is highly successful but may not always be possible. Umbilical marsupialization can be implemented when total resection cannot be accomplished with minimally reported complications. Umbilical vein marsupialization was performed on three Percheron foals with extensive septic omphalophlebitis using the one-stage paramedian translocation technique and prolonged postoperative antimicrobial therapy. Long-term follow-up revealed herniation at the marsupialization site in all foals. Two foals were subsequently treated with herniorrhaphy at the prior marsupialization site. One foal died due to septic peritonitis with hernia formation 3 months after marsupialization. This case series highlights hernia formation as a potential complication following one-stage umbilical vein marsupialization in foals diagnosed with septic omphalophlebitis and should be considered as a possible postoperative complication.
脓毒性脐静脉炎是一种常见的疾病过程，伴有多种发病率和可能的死亡率。受影响的脐残端切除术成功率很高，但并非总是可行。当无法进行全切除时，可采用脐袋化术，其并发症报告较少。对3匹患有广泛脓毒性脐静脉炎的佩尔什马驹采用一期旁正中移位技术和延长术后抗菌治疗进行脐静脉袋化术。长期随访发现所有马驹的袋化部位均出现疝。随后，2匹马驹在先前的袋化部位接受了疝修补术。1匹马驹在袋化术后3个月因伴有疝形成的化脓性腹膜炎死亡。该病例系列强调，疝形成是诊断为脓毒性脐静脉炎的马驹一期脐静脉袋化术后的一种潜在并发症，应被视为可能的术后并发症。
