The clinical signs associated with cecocecal and cecocolic intussusceptions
vary from those associated with mild colic to pain consistent with strangu
lation obstruction. Although some types of cecocecal or cecocolic intussusc
eption can be diagnosed via rectal palpation, exploratory surgery is often
needed to diagnose the condition. Resection of the invaginated aspect of th
e cecum is usually required, If manual reduction is not possible, colotomy
may be needed. Large colon enterotomy increases the risks for peritonitis b
ut can be successful in affected horses. Partial or total removal of the ce
cum does not appear to adversely affect long-term health.