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Cardiology3 papers

Cecal hematoma

Last edited: 4/23/2026

Overview

Cecal hematoma refers to bleeding within the cecum, often associated with ischemia or trauma, though specific equine predispositions like cecocolic fold hypoplasia can increase mobility and risk of torsion 1.

Diagnosis

  • Imaging (abdominal ultrasound, CT) to identify hematoma and assess cecal integrity 1.
  • Laboratory tests: Elevated white blood cell count, anemia, and coagulation profile abnormalities 1.
  • Contrast studies (barium enema) may reveal structural abnormalities or active bleeding 1.

    • Management

  • Emergency surgical intervention for suspected cecal hematoma to control bleeding and repair damage 1.
  • Supportive care including fluid resuscitation, blood transfusions as needed 1.
  • Antimicrobial therapy targeting potential peritonitis or sepsis based on clinical suspicion 1.

    • Special Populations

  • No specific data provided for pregnancy, pediatrics, elderly, or comorbidities in the given abstracts 1.

    • Key Recommendations

  • Perform imaging studies (ultrasound, CT) for definitive diagnosis of cecal hematoma 1.
  • Initiate surgical exploration and intervention promptly for suspected cases to prevent complications 1.
  • Provide supportive measures including fluid resuscitation and appropriate antimicrobial coverage 1.
    • (Evidence: Expert opinion)

    References

    1 Harrison IW. Cecal torsion in a horse as a consequence of cecocolic fold hypoplasia. The Cornell veterinarian 1989. link

    Original source

    1. [1]
      Cecal torsion in a horse as a consequence of cecocolic fold hypoplasia. — Harrison IW The Cornell veterinarian (1989)
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