Approximately six hours after the initial onset of acute, severe abdominal pain, (colic) in a 26-year-old Quarter Horse mare, she presented to the Cornell equine emergency service for further evaluationa referral workup. The previous evening and the morning of presentation her owner noted nothing abnormal. Later in the morning, however, the mare became violently painful. The owner administered flunixin meglumine and called the veterinarian. The patient was unresponsive to field treatments and was referred for additional support and management. Preliminary diagnostics were minimally rewarding, but contained several surgical indicators. The patient was taken for an abdominal exploratory where an 8cm spherical, pedunculated lipoma was found strangulating bowel resulting in a segment of devitalizeda segment of distal small intestine. The location of insult required a jejuno-cecal anastomosis. Surgery was fairly unremarkable as was recovery. The patient was maintained in the hospital on an appropriate therapy for seven days. Eight days after surgery the mare was released to her owners’ care.