Patient Presentation

King is a geriatric donkey gelding and a resident of a donkey rescue facility, where he is very well cared for with routine veterinary care. 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 he did not pass any manure. Due to the lack of response to medical therapy, an exploratory laparotomy was recommended. 

Medical or Surgical Management

Initially, medicine resident, Dr. Montgomery ,managed his gastric impaction and ulcers, under the supervision of Drs. Christie and Thompson. This was followed by an exploratory laparotomy, led by Dr. Bianca Ruspi.  Multiple fecaliths (impacted fecal material) were identified within the large colon and small colon. The fecaliths were removed via a pelvic flexure enterotomy and small colon enema. Postoperatively, King was also diagnosed with a gastric impaction. After resolution of the gastric impaction, gastric ulcers were identified. King received treatment for the gastric impaction and gastric ulcers post-operatively. 

Outcome

King responded well to treatment. He started passing normal manure and the gastric impaction and ulcers were resolved. He has since returned home and is reported to be doing well and enjoying life.

Educational Takeaway

Fecaliths 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