Gestation in a Mare with Facial Deviation (Wry Nose)

Background: Wry nose is a congenital deformity that causes respiratory obstruction and decreased oxygenation rate. Gestation in a wry nose mare may be considered a risk to the neonate since it depends on the maternal environment for development. Compromised oxygenation during pregnancy can lead to fetal distress and cause consequences on fetal development. However, depending on the degree of the impairment, the fetus may still be able to adapt. The aim of the present study was to report the gestation in a mare with facial deviation until term and to assess blood gases in the mare and neonate, and to evaluate the histomorphometry of the placenta.Case: A Criollo breed mare presenting facial deviation (Wry Nose) was donated to Equine Medicine Research Group (ClinEq) of the Federal University of Pelotas (UFPel) due to the presence of the physical deformity. When the mare was five years old, it was inseminated and had a pregnancy confirmed. At the fifth month of gestation, evaluation of fetal aorta diameter, fetal orbital diameter and combined thickness of the uterus and placenta (CTUP) started to be performed monthly to assess gestation health. The assessment of the fetal orbit and aorta diameter revealed a linear increase of both variables with the progress of gestation indicating a normal fetal development.  CTUP remained in the normal reference range, presenting no alterations during the gestational length. The mare foaled at 324 days of gestation a coat showing no congenital deformities. The foaling was monitored until the complete passage of fetal membranes. A complete clinical and hematological evaluation of the foal was carried out after birth. The foal showed normal adaptive behavior, clinical and hematological parameters during the first hours of life, although presenting physical signs of immaturity. Venous blood samples were collected from the mare at 315 days of gestation, immediately after foaling and 24 h post-partum for lactate and blood gas analysis.  Mild changes were observed in the mare’s blood gas analysis at foaling that were compensated within 24 h post-partum. Venous blood samples were collected from the umbilical cord and from the foal after birth, at 12 and 24 h post-partum to measure blood gases and lactate. The newborn foal presented respiratory acidosis immediately after birth, which was metabolically compensated at 24 h post-partum. Both mare’s and foal’s lactate evaluation were within the normal reference ranges. After expulsion of the placenta, samples from the gravid horn, uterine body and non-gravid horn were collected for histological and histomorphometric evaluation. In the histological evaluation, avillous areas were detected in the gravid horn and uterine body and mild hypoplasia was found in the uterine body. Placental histomorphometry revealed larger total microcotiledonary and capillary areas on the non-gravid horn when compared to the remaining areas of the placenta (gravid horn and uterine body). No abnormalities on the placental vasculature were detected.  Discussion: To date, there are no reports of a pregnancy in a mare with facial deviation in the literature. This report showed that the wry nose mare gave birth to a viable foal showing no congenital abnormalities, which suggests that wry nose animals can be bred normally. The mare presented a healthy pregnancy, with mild changes in the blood gas analysis at foaling that were compensated at 24 h postpartum. Similarly, despite the foal showed physical signs of immaturity and respiratory acidosis at birth, these changes were compensated in the later assessments. Furthermore, no abnormalities on the placental vasculature were detected.

Immunolocalization of Leptin and its Receptor (ObR-b) in Equine Placenta at Term and Plasma Level Measurement in the Late Gestation

Placental tissues from humans, rodents, and farm animal contain leptin and its receptor. Expression of leptin has already been described in horses, although there is no description about immunolocalization of leptin and its receptor. The aim of the present study was to investigate the presence and distribution of leptin and ObR-b in the equine placenta at term by immunofluorescence staining, and the changes on plasma leptin concentrations during late gestation. The present study involved eight Criollo-type mares carrying healthy pregnancies. Blood samples were collected during the third trimester of gestation, at foaling, and at 24 hours after foaling. Leptin concentrations were analyzed via radioimmunoassay. Plasma leptin concentrations did not change from the 8th to the 10th month of gestation and displayed a discrete decrease 24 hours after parturition (P = .07). The expression of leptin and ObR-b was observed in the cytoplasm of pseudostratified epithelial cells in the areolar region and in the epithelium of microcotyledons. Also, leptin receptor was allocated in the apical surface of the cells. The presence of leptin and its receptor (ObR-b) in the placenta of mares at term supports an endocrine and autocrine/paracrine action of leptin within this organ.

Growth Curve of Crioulo Foals from Birth until 24 Months of Age

Background: Breeding of Crioulo horses in the southern region of Brazil is very significant. Notwithstanding, not all animals meet the standards defined for the breed, raising concern among breeders, owners and veterinarians, driving them to an effort to know and understand the development of Crioulo foals. In order to get a registry at Brazilian Association of Crioulo Horse Breeders (ABCCC), the foals must be presented to a certified technician as of 24 months of age and show the breed standards and measurements required. To date, there are no data concerning development of this breed available. Therefore, this study aims to describe the growth curve of Crioulo foals in the south region of Rio Grande do Sul.Materials, Methods & Results: The study was conducted in three Crioulo horse breeding farms in the cities of Santa Vitória do Palmar, Bagé and Aceguá, in the state of Rio Grande do Sul, Brazil, for a period of two years (2013-2015). We followed up on 267 Crioulo foals from birth up to 24 months of age. Biometric evaluation was divided in 26 periods, with 40 animals in each and random repetition of individuals. Period one: birth to seven days; period two: seven to 21 days; monthly from 1st to 24th month. The three breeding farms presented similar environmental conditions and the horses were submitted to similar management. Measurements were taken on a monthly basis, using a mechanical scale for weight and a hippometer for height. The analysis were conducted on SAS/ETS® version 9.2. Logistic non-linear regression model was used to obtain growth curves for height and minimum, medium and maximum weight of the foals on their respective ages, by this way six growth curves were produced. Results show an increase in weight and height at 24 months of age compared to the moment of birth. This increase was accentuated during the first months of life, both in weight and height. Thus, it is possible to observe that the first six months of life is characterized by a larger growth rate and is therefore, essential for the foals development, requiring special attention from the breeder and owner.Discussion: The growth curve obtained show that not all individuals reach the measurements required by the breed’s association, corroborating the empirical observation of breeders and technicians in their routine. This is also a concern related to other Brazilian breeds such as Mangalarga Marchador, Pantaneira, Campeira.  For the mentioned breeds, the adequate growth curve has already been described aiming to controlling foal development. The ABCCC require that foals as of 24 months of age have the minimum values of 1.40 m 1.38 m and 1.38 m; and maximum values of 1.50 m, 1.48 m and 1.50 m, for males, females and geldings, respectively, in order to receive the Association brand and the permanent registry. According to the growth curve, the first two months of the foal’s life show the largest growth rate, reaching 78.4% of an adult’s height with average growth of 20 cm, reaching 1.05 m. Genetic features, nutritional and sanitary conditions, directly influence this period. Overweight associated to exercising increases the risk of musculoskeletal injury and represent a factor for stress on the joints. This should be a concern among Crioulo breeders and the knowledge of their growth curve is important for an objective assessment seeking for a gradual and weighted development. In this work, it was possible to determine the growth curve of Crioulo breed foals in the south region of Rio Grande do Sul, from birth up to 24 months of age, providing minimum, medium and maximum parameters referring to withers height and body weight.

Aneurysm in the Distal Portion of the Extern Jugular Vein in a Horse

Background: Aneurysm is a vascular disease that causes the partial rupture of arteries and veins and subsequent blood leakage due to the weakening of the vessels elastic middle layer. Venous aneurysms in horses are rare, but the arterial aneurysms are commonly reported. The aim of this paper is to report a rare occurrence of jugular external aneurysm in a horse and propose the inclusion this disease as a differential diagnosis, both because it is rare in this specie and invariably fatal. The medical examination showed a firm well-defined mass, painless, nonpulsatile on palpation and with no changed in the local temperature.Case: The horse was referred to the Veterinarian Hospital of the Federal University of Pelotas (UFPel, RS-Brazil. It was a male, Crioulo breed, 10 years old, used as stallion. The owner reported a swelling in the pectoral region that occurred after a trauma episode that had gradually grown for two years. The patient was clinically stable, and would undergo surgery extirpation for aesthetic matters. Clinical examination showed the swelling was circumscribed and centralized and it presented about 20 centimeters in diameter. The ultrasound of the pectoral area showed an anechoic structure with hyperechoic spots inside limited by an hyperechoic layer similar to a fibrous capsule. Presumptive diagnostics were of: hematoma, subcutaneous abscess, neoplasia, and possible vascular involvement. The use of conventional ultrasound was not enough to set the diagnosis, and the patient was referred to surgical exploration, where the procedures of isolation and anastomosis were performed, however rupture occurred and the patient died. Necropsy revealed sacculation of the ventral region of the neck next to the entrance of the thorax, and the involvement of the external right jugular vein, being the adjacent muscle tissue not involved. Histopathological evaluation showed intense proliferation of sub-endothelial fibrous tissue which infiltrated the tunica media and adventitia and a mild inflammatory infiltrate of lymphocytes and histiocytes, which was diagnosed as an aneurysm of the right external jugular vein.Discussion: The reported patient had a venous aneurysm located superficially, which may have contributed to the absence of symptoms. The ultrasound is a diagnostic method available to most veterinarians nowadays, mainly in the countryside. However, when it is used in the diagnosis of an aneurysm it displays a dilatation with anechoic content, which is com­mon to several other skin diseases. A similar ultrasound image was observed in the case reported, but the diagnosis was difficult because the aneurysm presented intense proliferation of fibrous tissue infiltrated in the media and adventitia of the vascular wall, similar to a capsule of fibrous tissue, which lead to the presumptive diagnostics of hematoma, abscess and neoplasia, with possible vascular involvement. The options for the treatment of the aneurysms consider the location, size and extent of them and it determines the choice between clinical observation and surgery. In veterinary medicine it is difficult to keep the animals still and in the case of a horse, any movement can lead to the spontaneous rupture of the aneurism. Considering the risk of spontaneous rupture and hemorrhage, the surgical resolution, even if risky, emerges as the most suitable treatment. Venous aneurysms although rare, need to be included as a differential diagnosis in skin diseases along with increased volume, as hematomas, abscesses and tumors. The prognosis, however, is poor because of the surgical limitations and risks of imminent rupture in the clinical treatment.Keywords: venous aneurysm, differential diagnosis, equine.

Post-partum Utero-ovarian Artery Rupture in Mare

Background: Arterial rupture associated with pregnancy is an important cause of fatal hemorrhage in pregnant mares, regardless breeds and age. Such hemorrhagic events lead to blood loss into the abdomen, broad ligament and uterus and the broad ligament hematoma occurs as a consequence of arterial rupture. Although the rupture of the uterine artery is commonly caused by hemorrhage, there are few studies regarding this condition. Therefore, the aim of this study was to describe a case of rupture of the utero-ovarian artery, with broad ligament hematoma and intramural uterine hematoma in a Thoroughbred mare, emphasizing the predisposing factors and the diagnosis process.Case: A 13-year-old Thoroughbred mare, with nine parturition, was attended with abdominal pain after foaling. The mare had an eutocic delivery, however the foal was a big one to the race, with high of 1,02 m and weight of 68 kg. The animal arrived at the Veterinary Clinical Hospital 48 h after delivery, with abdominal pain, pale mucous membranes, heart rate slightly increased. The trans-rectal palpation revealed the presence of a solid mass in the left horn region, and it was painful to the touch. The ultrasonography evaluation of the mass showed a heterogeneous texture with a hypoechoic central area, which reinforced the clinical suspicion of a hematoma in the broad ligament and a uterine intramural hematoma. The animal did not respond to analgesic therapy, which resulted in shock and consequently death. Necropsy revealed free blood in the abdominal cavity and the uterine wall with swollen hematoma extended to the left broad ligament. It also showed the presence of a hematoma along the uterine wall, from the uterine body region to the ovarian insertion. Histological evaluation did not show significant changes in the arterial wall, and it revealed the formation of intramural hematoma thorough all extension of the left uterine horn, confirming the suspicion of rupture in the utero-ovarian artery and hematoma on the broad ligament and uterine intramural hematoma in the left horn.Discussion: Rupture of uterine arteries can occur at any age, although it is often observe in old mares, possibly because of the vascular degenerative features observed in these animals. In addition, multiparous mares are more prone to it because multiple births can favour damages in vascular system. The clinical assessment showed characteristics compatible with postpartum hemorrhage. A thorough trans-rectal evaluation revealed a mass in the left horn. The ultrasonography evaluation from the mass showed echogenic characteristics consistent with those described for broad ligament hematoma and uterineintramural hematoma in the left horn. The clinical suspicion, rupture of the uterine artery, with formation of a hematoma in the broad ligament and uterine intramural hematoma, was based upon the history, clinical signs and laboratory tests, especially the characteristics revealed by the ultrasound from the mass in left horn. Necropsy showed the rupture of the utero-ovarian artery. Lesions are usually observed on the right uterine artery due to the displacement of the uterus to the left abdominal wall by the cecum, which results in an increased tension on the right broad ligament. However, in this case the rupture was associated to the gravid horn. The rupture of the utero-ovarian artery is a major cause of hemorrhage in the postpartum and this can form a hematoma in the broad ligament and uterine intramural hematoma. In conclusion, the mare from this study showed as the predisposing factors the age and the number of parturition. Clinical sings are very similar to others abdominal pain conditions, being the exams essential to diagnosis, especially ultrasonography. Rupture of the utero-ovarian artery is an emergency with unfavorable prognosis.Keywords: artery, utero-ovarian, mare, hemorrhage.