Patient Presentation
King is a geriatric donkey gelding and a resident of a donkey rescue facility. He presented for evaluation due to decreased manure production and concerns for gastrointestinal dysfunction.

Initial Evaluation and Findings
King was initially managed medically in the hospital for several days, but his clinical signs did not improve. Due to the lack of response to medical therapy, an exploratory laparotomy was recommended. During surgery, multiple fecoliths (impacted fecal material) were identified within the large colon. Postoperatively, King was also diagnosed with a gastric impaction, a condition commonly seen in older equines with dental wear that impairs normal mastication. After resolution of the gastric impaction, gastric ulcers were identified.

Medical or Surgical Management
An exploratory laparotomy was performed, led by Dr. Bianca Ruspi under the supervision of an experienced surgeon. Multiple fecoliths were removed via a large colon enterotomy. King received appropriate postoperative medical management, including treatment for gastric impaction and gastric ulcers.

Outcome
King responded well to treatment, with resolution of his gastrointestinal issues and healing of gastric ulcers. He has since returned home and is reported to be doing well and enjoying life.

Educational Takeaway
Fecoliths and gastric impaction are important causes of gastrointestinal disease in older equids, particularly those with dental wear. Early recognition and timely surgical intervention can be lifesaving, and comprehensive postoperative management is essential for a successful outcome.

Learn more about Dr. Ruspi: CLICK HERE