Cecal Perforation
Basic Information 
Definition
Loss of integrity of the cecal wall associated with leakage of intestinal contents into the abdomen
Clinical Presentation
Disease Forms/Subtypes
Cecal perforation occurs in several forms:
• Cecal perforation has been identified in broodmares at the time of parturition with no evidence of cecal outflow obstruction or dysfunction.
• Cecal perforation occurs in 25% to 57% of horses with cecal impaction.
• Cecal perforation has been reported in horses hospitalized for non-gastrointestinal (GI) disease without evidence of cecal impaction with feed. However, it is important to note that horses with fluid cecal impactions or dysfunction may not show signs of colic before perforation and would not have evidence of impaction with feed at the time of necropsy.
• Cecal perforation has been reported with infestation with A. perfoliata.
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