Rare Case Wednesday
πππ«π πππ¬π ππππ§ππ¬πππ² – While this horseβs regular veterinarian was out of town, Skillman Veterinary Services was reffered for a next-day visit and stepped in to care for the patient.
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The horse had significant swelling under the skin that crackled when touched. Vital signs were normal, but the swelling extended from the throat latch down the neck to the base of the chest. An allergic reaction was initially suspected, but treatment did not improve the condition.
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Ultrasound showed muscle damage in the chest, likely from trauma, where the air entered.
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Dr. Harris identified a rare condition called Subcutaneous Emphysema, where air becomes trapped under the skin! In horses, this often occurs when a deep wound in the chest or leg acts like a one-way valve, causing swelling and a crackling sensation (crepitus). While usually temporary, severe cases can affect breathing.
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The horse was treated with a tetanus shot, anti-inflammatory medication and stall rest. Over several weeks, the air absorbed and the horse made a full recovery!