Al centro de veterinaria y zootecnia del CES fue remitido un equino criollo cuyo motivo de consulta fue colico, el examen clinico inicial condujo a un diagnostico presuntivo de impactacion de colon menor, pero las evaluaciones posteriores demostraron que la condicion inicial impactacion cecal primaria. El estatus fisico del paciente permitio realizar un manejo medico de la complicacion, la palpacion rectal fue la ayuda diagnostica mas precisa, la terapia medica agresiva y el monitoreo continuo permitieron el desarrollo favorable del caso clinico. La impactacion comenzo a resolverse dentro de las primeras 24 hrs. despues del diagnostico, aun cuando en el dia 3 de su evolucion presento un desbalance electrolitico severo. Abstract To the veterinary and animal science center of the CES University, an 5 year old creole equine was referred, the admission issue was colic. In the initial clinical examination a probable small colon impaction diagnosis was made, but the development of the clinical case showed a final diagnosis of primary cecal impaction. The clinical condition of the patient supported a medical therapy, rectal examination was the most helpful diagnostic tool, the aggressive medical therapy and the continuous monitoring of the patient allowed a successful outcome of the clinical case, the impaction start’s to solve within 24 hrs after the diagnosis, even when the 3rd day of evolution an electrolytic imbalance, was presented as a threatening life condition.