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Cecal, Caecum Impaction in Horses

An impacted cecum can be palpated on rectal examination in the right flank area. Generally a slow, gradual onset of clinical signs with mild vacillating-type colic. Cecal rupture can be a complication of impaction, leading to peritonitis and death.

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The most common sites of impaction are the pelvic flexure region of the left colon, the junction of the right dorsal colon with the transverse colon, and the base and body of the cecum. The pelvic flexure and transverse colon regions are anatomically predisposed to obstruction because of the dramatic changes in size.

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