Abstract
Objective: To describe the clinical presentation and long-term
outcome of three Percheron foals with omphalophlebitis that developed
abdominal hernias following one-stage umbilical marsupialization
treatment.
Study Design: Short case series
Animals : Three Percheron foals
Methods : Omphalophlebitis is a common disease process resulting
in a variety of morbidities and sometimes mortality. Complete resection
of affected umbilical remnants is highly successful, but when total
resection cannot be accomplished umbilical vein marsupialization can be
implemented with minimally reported complications. Umbilical vein
marsupialization was performed on three foals with extensive
omphalophlebitis using the one-stage paramedian translocation technique
in conjunction with long term antimicrobial therapy.
Results: Long term follow-up revealed herniation at the
marsupialization site in all three foals. Two foals were treated with
herniorrhaphy at the prior marsupialization site. One foal died due to
septic peritonitis three months after marsupialization.
Conclusion : This case series highlights hernia formation as a
potential complication following one-stage umbilical vein
marsupialization in foals diagnosed with omphalophlebitis and should be
considered as a possible post-operative complication.