Enteroliths

Todayโ€™s path rounds are on ๐ž๐ง๐ญ๐ž๐ซ๐จ๐ฅ๐ข๐ญ๐ก๐ฌ!

๐–๐ก๐š๐ญ ๐ข๐ฌ ๐ข๐ญ?
๐„๐ง๐ญ๐ž๐ซ๐จ๐ฅ๐ข๐ญ๐ก๐ฌ are mineralized rocks that can be found in the colon of horses. They are typically made up of ๐ฆ๐š๐ ๐ง๐ž๐ฌ๐ข๐ฎ๐ฆ ๐š๐ฆ๐ฆ๐จ๐ง๐ข๐ฎ๐ฆ ๐ฉ๐ก๐จ๐ฌ๐ฉ๐ก๐š๐ญ๐ž, and can weigh up to 10kg!! They typically have a smooth, spherical appearance.

๐–๐ก๐จ ๐ ๐ž๐ญ๐ฌ ๐ข๐ญ?
Any horse can get these, however they are more commonly observed in sandy areas like California and Florida. For some unknown reason, Arabians tend to get them the most commonly!

๐–๐ก๐š๐ญ ๐œ๐š๐ฎ๐ฌ๐ž๐ฌ ๐ข๐ญ?
In general, enteroliths are thought to form around a central ๐ง๐ข๐๐ฎ๐ฌ, which is some sort of foreign material like a rock, piece of wire, piece of twine, or a large feed clump. From there, the mineral accumulates on the surface of the nidus repeatedly over time, forming rings that can be seen on cut section, similar to a tree.

๐–๐ก๐ฒ ๐ข๐ฌ ๐ญ๐ก๐ข๐ฌ ๐š ๐ฉ๐ซ๐จ๐›๐ฅ๐ž๐ฆ?
Small enteroliths arenโ€™t a problem usually, as they just float around in the colon. However, large enteroliths may obstruct the colon, preventing flow of feed material, leading to severe colic signs. If not caught quickly, the intestinal wall around these obstructing enteroliths can rupture, leading to intestinal contents leaking into the abdomen. Very bad news for a horse!

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ข๐ญ ๐๐ข๐š๐ ๐ง๐จ๐ฌ๐ž๐?
Typically these enteroliths are found during ๐ž๐ฑ๐ฉ๐ฅ๐จ๐ซ๐š๐ญ๐จ๐ซ๐ฒ ๐ฅ๐š๐ฉ๐š๐ซ๐จ๐ญ๐จ๐ฆ๐ฒ, or a colic surgery where the surgeon is looking for the cause of a colic. They sometimes can be visualized prior to surgery using ultrasound, depending on their location and size.

๐‡๐จ๐ฐ ๐ข๐ฌ ๐ญ๐ซ๐ž๐š๐ญ๐ž๐?
The only treatment for these rocks is surgical removal. Unfortunately, colic surgery can be quite expensive, so horses may be euthanized instead.

๐๐ก๐จ๐ญ๐จ๐ฌ
1-5) Examples of enteroliths! Can you see the rings on cut section?

๐’๐จ๐ฎ๐ซ๐œ๐ž๐ฌ
Maxie, G. Jubb, Kennedy and Palmerโ€™s Pathology of Domestic Animals, Volume 2. Sixth Edition.

Photos 1-5 courtesy of Noahโ€™s Arkive.

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