The distribution of Anoplocephala perfoliata in the intestine of the horse and associated pathological changes

The intestinal tracts of 130 horses were examined for infection with Anoplocephala perfoliata at necropsy. Fifty horses (38.5%) harboured the tapeworm, and the site of attachment of each worm was recorded using predetermined anatomical landmarks. The worms were attached in four regions of the gastrointestinal tract: 17% of the worms were found at the ileocaecal junction, 81% on the caecal wall, 1.7% in the terminal ileum and 0.2% in the ventral colon. The severity of lesions produced at the sites of attachment was related to the number of worms attached. Due to the small area of the ileocaecal junction, worms at this site were attached in close proximity, resulting in more severe lesions. The major features of the lesions included ulceration, diphtheritic membranes and thickening of the mucosa, submucosa and lamina propria. There was an increase in the number of eosinophils and a decrease in the number of lymphocytes present at the sites of lesions.