{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:36:59Z","timestamp":1760143019090,"version":"build-2065373602"},"reference-count":34,"publisher":"MDPI AG","issue":"2","license":[{"start":{"date-parts":[[2024,1,15]],"date-time":"2024-01-15T00:00:00Z","timestamp":1705276800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Animals"],"abstract":"<jats:p>Small colon impaction can result in accumulation of ingesta, gas, and fluid orally to the impaction site in horses. Large colon tympany, which is caused by ingesta fermentation, can be a predisposing factor for intestinal displacement. The aim of this study is to report the history, clinical, and surgical findings of horses and ponies referred for abdominal pain not responsive to drugs where a right dorsal displacement (RDD) or large colon volvulus (LCV), together with a small colon faecalith (SCF), were diagnosed during surgery. This study included a total of five horses and five ponies. Based on clinical features, ultrasonographic examination, and rectal palpation, an initial suspected diagnosis of RDD, LCV or severe large colon and caecum distension was made in all clinical cases. Due to the lack of response to medical treatment or worsening of colic symptoms, surgery was performed in all horses: diagnosis of RDD or LCV was made and a SCF was incidentally detected in all cases. While exploratory laparotomy was carried out in all the patients for the presence of a large colon issue, it was probably subsequent to an obstruction of the small colon caused by the presence of an SCF, which is generally difficult to diagnose. This study reported the presence of SCF as a possible cause of secondary RDD or LCV in horses and ponies that, to the authors\u2019 knowledge, has never been reported.<\/jats:p>","DOI":"10.3390\/ani14020262","type":"journal-article","created":{"date-parts":[[2024,1,15]],"date-time":"2024-01-15T04:54:38Z","timestamp":1705294478000},"page":"262","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Small Colon Faecalith with Large Colon Displacement in Ten Cases (2015\u20132023): A Detailed Case Description and Literature Review"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9234-3478","authenticated-orcid":false,"given":"Nicola","family":"Scilimati","sequence":"first","affiliation":[{"name":"Department of Veterinary Medicine, University of Perugia, 06126 Perugia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4804-3870","authenticated-orcid":false,"given":"Anna","family":"Cerullo","sequence":"additional","affiliation":[{"name":"Department of Veterinary Sciences, University of Turin, 10095 Grugliasco, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7774-9920","authenticated-orcid":false,"given":"Sara","family":"Nannarone","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine, University of Perugia, 06126 Perugia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1803-1513","authenticated-orcid":false,"given":"Rodolfo","family":"Gialletti","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine, University of Perugia, 06126 Perugia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gessica","family":"Giusto","sequence":"additional","affiliation":[{"name":"Department of Veterinary Sciences, University of Turin, 10095 Grugliasco, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8736-9924","authenticated-orcid":false,"given":"Alice","family":"Bertoletti","sequence":"additional","affiliation":[{"name":"Department of Veterinary Medicine, University of Perugia, 06126 Perugia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2024,1,15]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1111\/j.2042-3306.1993.tb02985.x","article-title":"Retrospective analysis of the results of 151 exploratory laparotomies in horses with gastrointestinal disease","volume":"25","author":"Phillips","year":"1993","journal-title":"Equine Vet. J."},{"key":"ref_2","unstructured":"Southwood, L.L., Bergslien, K., and Jacobi, A. (2002, January 14\u201316). Large colon displacement and volvulus in horses: 495 cases (1987\u20131999). Proceedings of the Seventh International Equine Colic Research Symposium, Manchester, UK."},{"key":"ref_3","first-page":"800","article-title":"Causes of gastrointestinal colic in horses in western Canada: 604 cases (1992 to 2002)","volume":"46","author":"Abutarbush","year":"2005","journal-title":"Can. Vet J."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"296","DOI":"10.2746\/0425164054529409","article-title":"Survival and complication rates in 300 horses undergoing surgical treatment of colic. Part 1: Short-term survival following a single laparotomy","volume":"37","author":"Mair","year":"2005","journal-title":"Equine Vet. J."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"192","DOI":"10.4102\/jsava.v80i3.201","article-title":"Causes of gastrointestinal colic at an equine referral hospital in South Africa (1998\u20132007)","volume":"80","author":"Voigt","year":"2009","journal-title":"J. South Afr. Vet. Assoc."},{"key":"ref_6","unstructured":"Auer, A., Stick, J.A., and Snyder, J. (2019). Equine Surgery, \u200eElsevier. [5th ed.]."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"687","DOI":"10.2460\/ajvr.2004.65.687","article-title":"Effects of feeding large amounts of grain on colonic contents and feces in horses","volume":"65","author":"Lopes","year":"2004","journal-title":"Am. J. Vet. Res."},{"key":"ref_8","first-page":"606","article-title":"Rectal examination of horses with acute abdominal pain","volume":"22","author":"Mueller","year":"2000","journal-title":"Compend. Contin. Educ. Pract. Vet."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1111\/j.2042-3306.1986.tb03621.x","article-title":"Review of large intestinal motility and mechanisms of impaction in the horse","volume":"18","author":"Sellers","year":"1986","journal-title":"Equine Vet. J."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"641","DOI":"10.1111\/evj.12361","article-title":"Changes in the faecal microbiota of mares precede the development of post partum colic","volume":"47","author":"Weese","year":"2015","journal-title":"Equine Vet. J."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1111\/eve.13119","article-title":"Diagnosis, management and prognosis of small colon impactions","volume":"33","author":"Hanson","year":"2021","journal-title":"Equine Vet. Educ."},{"key":"ref_12","unstructured":"Auer, A., Stick, J.A., and Snyder, J. (2019). Equine Surgery, Elsevier. [5th ed.]."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"317","DOI":"10.1016\/j.cveq.2009.04.002","article-title":"Impactions of the small and large intestines","volume":"25","author":"Plummer","year":"2009","journal-title":"Vet. Clin. N. Am. Equine Pract."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"359","DOI":"10.1016\/S0749-0739(17)30245-6","article-title":"Diseases and surgery of the small colon","volume":"13","author":"Edwards","year":"1997","journal-title":"Vet. Clin. N. Am. Equine Pract."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1016\/j.cveq.2009.04.010","article-title":"Enteroliths and other foreign bodies","volume":"25","author":"Pierce","year":"2009","journal-title":"Vet. Clin. N. Am. Equine Pract."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"e51","DOI":"10.1111\/eve.13154","article-title":"Standing flank laparotomy for the treatment of small colon impactions in 15 ponies and one horse","volume":"33","author":"Herbert","year":"2021","journal-title":"Equine Vet. Educ."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"971","DOI":"10.2460\/javma.1992.200.07.971","article-title":"Abnormal conditions of the equine descending (small) colon: 102 cases (1979\u20131989)","volume":"200","author":"Dart","year":"1992","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_18","first-page":"251","article-title":"Observations on the causes and incidence of acute intestinal obstruction in the horse","volume":"19","author":"Tennant","year":"1972","journal-title":"Proc. Am. Ass. Equine Practnrs."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"42","DOI":"10.1111\/j.2042-3306.1992.tb04788.x","article-title":"A review of 38 cases of small colon obstruction in the horse","volume":"24","author":"Edwards","year":"1992","journal-title":"Equine Vet. J."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1042","DOI":"10.2460\/javma.1999.214.07.1042","article-title":"Comparison of medical and surgical treatment for impaction of the small colon in horses: 84 cases (1986\u20131996)","volume":"214","author":"Rhoads","year":"1999","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"1762","DOI":"10.2460\/javma.1991.199.12.1762","article-title":"Medical and surgical management of small-colon impaction in horses: 28 cases (1984\u20131989)","volume":"199","author":"Ruggles","year":"1991","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"205","DOI":"10.2460\/javma.1992.200.02.205","article-title":"Fecalith impaction in four miniature foals","volume":"200","author":"McClure","year":"1992","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1612","DOI":"10.2460\/javma.229.10.1612","article-title":"Predisposing factors for small colon impaction in horses and outcome of medical and surgical treatment: 44 cases (1999\u20132004)","volume":"229","author":"Frederico","year":"2006","journal-title":"J. Am. Vet. Med. Assoc."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"424","DOI":"10.1111\/eve.12504","article-title":"The paradox of diarrhoeal disease and small colon obstruction","volume":"28","author":"Blikslager","year":"2016","journal-title":"Equine Vet. Educ."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"460","DOI":"10.1111\/eve.12417","article-title":"Gastric impaction and large colon volvulus: Can one lead to the other?","volume":"27","author":"Blikslager","year":"2015","journal-title":"Equine Vet. Educ."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"650","DOI":"10.1111\/evj.12358","article-title":"Duration of disease influences survival to discharge of Thoroughbred mares with surgically treated large colon volvulus","volume":"47","author":"Hackett","year":"2015","journal-title":"Equine Vet. J."},{"key":"ref_27","first-page":"357","article-title":"Surgical correction of small colon faecalith in a Dare-Shuri foal. Turk","volume":"33","author":"Nikahval","year":"2009","journal-title":"J. Vet. Anim. Sci."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1111\/j.2042-3292.2002.tb00132.x","article-title":"Small colon obstructions in the mature horse","volume":"14","author":"Schumacher","year":"2002","journal-title":"Equine Vet. Educ."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"411","DOI":"10.2746\/042516408X288282","article-title":"Retrospective study assessing efficacy of treatment of large colonic impactions","volume":"40","author":"Hallowell","year":"2008","journal-title":"Equine Vet. J."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"695","DOI":"10.2460\/ajvr.2004.65.695","article-title":"Effects of enteral and intravenous fluid therapy, magnesium sulfate, and sodium sulfate on colonic contents and feces in horses","volume":"65","author":"Lopes","year":"2004","journal-title":"Am. J. Vet. Res."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"103617","DOI":"10.1016\/j.jevs.2021.103617","article-title":"Gastric and large colon impactions combined with aggressive enteral fluid therapy may predispose to large colon volvulus: 4 cases","volume":"102","author":"Giusto","year":"2021","journal-title":"J. Equine Vet. Sci."},{"key":"ref_32","first-page":"1144","article-title":"Participation of gastric mechanoreceptors and intestinal chemoreceptors in the gastrocolonic response","volume":"94","author":"Wiley","year":"1988","journal-title":"J. Gastroenterol."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"558","DOI":"10.1111\/evj.12039","article-title":"Risk factors for large colon volvulus in the UK","volume":"45","author":"Suthers","year":"2013","journal-title":"Equine Vet. J."},{"key":"ref_34","doi-asserted-by":"crossref","unstructured":"Salem, S.E., Maddox, T.W., Antczak, P., Ketley, J.M., Williams, N.J., and Archer, D.C. (2019). Acute changes in the colonic microbiota are associated with large intestinal forms of surgical colic. BMC Vet. Res., 15.","DOI":"10.1186\/s12917-019-2205-1"}],"container-title":["Animals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2076-2615\/14\/2\/262\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T13:46:44Z","timestamp":1760104004000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2076-2615\/14\/2\/262"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,1,15]]},"references-count":34,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2024,1]]}},"alternative-id":["ani14020262"],"URL":"https:\/\/doi.org\/10.3390\/ani14020262","relation":{},"ISSN":["2076-2615"],"issn-type":[{"type":"electronic","value":"2076-2615"}],"subject":[],"published":{"date-parts":[[2024,1,15]]}}}