Which statement best describes the management approach for uroabdomen in foals?

• A. Medical management only
• B. Both medical and surgical management
• C. Surgical management only
• D. No treatment is required

Answer: (B)

When urine leaks into the peritoneal cavity, the foal’s body absorbs waste products from that urine, causing life-threatening electrolyte disturbances and azotemia. The main idea here is that successful management must address both the systemic effects and the source of the problem. Stabilizing the foal with fluids and electrolyte/acid-base correction is essential to support organ function and buy time, but stopping ongoing leakage by repairing the bladder or urachus is usually required for a lasting recovery. So, the best approach combines medical stabilization with definitive surgical repair of the rupture. Relying on medical therapy alone doesn’t stop the leak, and surgical repair alone without initial stabilization risks worsening the foal’s condition from the severe metabolic imbalances. No treatment is not appropriate because both stabilization and source control are needed for a good outcome.