By Dr Frank GR Taylor, BVSc PhD MRCVS, Dr Tim J Brazil, BVSc PhD CertEM (Int Med) DECEIM MRCVS, and Dr Mark H Hillyer, BVSc DipECVS PhD DipECEIM CertEP CertES (soft Tissue) CertEM (Int Med) MRCVS (Eds.)
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Extra info for Diagnostic Techniques in Equine Medicine. A textbook for students and practitioners describing diagnostic techniques applicable to the adult horse
Complications of abdominal paracentesis Potential complications of abdominal paracentesis are: gut perforation or laceration; the introduction of infection at the site (resulting in cellulitis or peritonitis); and damage/infection at the xiphoid cartilage by sampling too far forward. Gut perforation is a relatively common accident that is rarely attended by complications. The small puncture hole quickly seals over but a local peri tonitis is evoked which increases the nucleated cell count of the peritoneal fluid within a few hours.
The site of insertion is visualized and the channel of the linea alba is located by the remaining fingers. If the needle is held at 90° to the linea alba and in line with the fingers as they are located in the channel (Fig. 22), then it is possible for the clinician to withdraw his/ her head to safety before placing the needle in the skin, knowing that it is positioned accurately. The needle is pushed through the skin and into the linea alba, gently but firmly, to a depth of no more than 5 mm. This should allow the needle to be selfretaining when released.
In such cases food material is often seen on the soft palate and within, and around, the larynx. The mucosal surface is pink and thrown into longitudinal folds, which become more prominent in the distal oesophagus. There is a natural narrowing of the lumen in the postpharyngeal area, the thoracic inlet, the heart base and the terminal oesophagus. Comment Anomalies of appearance • In some healthy horses there may be a Inflammation (oesophagitis) is readily apparent, with or without ulceration or perforation of the luminal wall.