Equine Health Update EHU 2020 Issue 01 | Page 33

Equine Disease Quarterly | EQUINE associated with the internal iliac artery (3%), circumiliac artery (1%), ovarian artery (1%), and aorta (1%). Two cases of broad ligament hematoma were recorded, in which the exact location of the vascular rupture could not be determined. Direct injury to the mare’s reproductive tract occurred in 22% of the cases and frequently resulted in humane euthanasia. Uterine tear/ rupture was most frequent in this category and occurred in 12% of the cases. Less common reproductive injuries included uterine prolapse and vaginal lacerations, each of which occurred in 3% of mares. Single cases of hydrops pregnancy, uterine adhesions, uterine torsion, and significant vaginal hemorrhage were also noted. birthing trauma, pain, fetal movement and positioning, and vascular changes associated with gestation. Evaluation of mares during and following parturition is essential to rapidly identify and treat this unique group of diseases. CONTACT: Dr. Alan Loynachan [email protected] (859)257-8283 University of Kentucky Veterinary Diagnostic Laboratory Lexington, Kentucky Surprisingly, injuries to the musculoskeletal system resulted in euthanasia of 10 (8%) mares. Fractures (5%) were most common followed by individual cases of hip joint luxation, diaphragmatic hernia, significant muscle trauma, and peripheral nerve damage. Fractures were specifically associated with the pelvis, tibia, and femur and were noted to occur in mares during dystocia events suffering post-foaling pain, and being transported to a veterinary clinic. The miscellaneous group included four sporadic and individual cases that occurred in the peripartum time period. These cases included death or euthanasia due to uncontrollable post-dystocia pain, a presumed cardiovascular event following dystocia, an anaphylactic drug reaction, and liver disease of unknown cause. Dystocia was specifically mentioned in the clinical history of 19% of the 121 cases. Although the accuracy of this self-reported number is not definitive, it does emphasize that many injuries during the foaling period are not associated with difficult births. In summary, equine death associated with the foaling period is unfortunately common. The underlying causes likely include a mixture of diseases associated with • Volume 22 Issue 01 | March 2020 • 33