SAEVA Proceedings 2018 4. Proceedings | Page 123

SAEVA Congress 2018 Proceedings | 12-15 February 2018 | ATKV Goudini Spa Jejunojejunal intussusception Asymptomatic intussusceptions have been seen in normal neonatal foals but are present without thickening of the affected intestine or distention of the oral segment. Strangulating small intestinal lesions Distended, fluid-filled small intestine is usually imaged proximal to a strangulated portion of small intestine. The strangulated small intestine usually has thickened, edematous, hypoechoic walls with little or no peristaltic activity. Complete volvulus of the small intestine may also occur, similarly affecting the entire small intestine. Distended small intestine with thickened walls is most frequently detected in the ventral portion of the abdomen. Meconium/ Ascarid impaction Meconium impactions can appear as hypoechoic, echoic or hyperechoic masses in the lumen of the large colon, small colon or rectum. If the meconium is obstructing the flow of ingesta, the small colon proximal to the obstruction will be fluid distended. Large meconium impaction in small colon In older foals, Ascarid impactions can be imaged in the bowel lumen, usually in the ileum. The Ascarid worm appear as a long echogenic tubular structure in the lumen of the bowel or as an irregular mass of echoic tubular structures. 118