## Overview A strangulating lipoma is a pedunculated fatty tumor that wraps around a loop of small intestine and cuts off its blood supply. It is common in horses older than 15 years and causes acute severe colic, reflux, and rapid heart rate. Surgery is the only treatment. ## Causes Mesenteric lipoma with a long stalk. ## Diagnosis Age, severe colic, reflux, and ultrasound. Confirmed at surgery. ## Treatment Emergency surgery to remove the lipoma and resect compromised intestine. ## Recovery and Prognosis Fair with early surgery. ## Prevention None.
acute severe colic; nasogastric reflux; rapid heart rate; typically horses older than 15 years
## Overview A strangulating lipoma is a pedunculated fatty tumor that wraps around a loop of small intestine and cuts off its blood supply. It is common in horses older than 15 years and causes acute severe colic, reflux, and rapid heart rate. Surgery is the only treatment. ## Causes Mesenteric lipoma with a long stalk. ## Diagnosis Age, severe colic, reflux, and ultrasound. Confirmed at surgery. ## Treatment Emergency surgery to remove the lipoma and resect compromised intestine. ## Recovery and Prognosis Fair with early surgery. ## Prevention None.
acute severe colic; nasogastric reflux; rapid heart rate; typically horses older than 15 years