Disease in captive wild mammals and birds : $b incidence, description, comparisonFox, Herbert
Science
Disease in captive wild mammals and birds : $b incidence, description, comparison
Fox, Herbert
Veterinary medicine
It is almost certain that in a human pathological service of fifty-five
hundred autopsies, one or more diverticula of the Meckel variety would
be encountered and perhaps several of other kinds. In our material only
pouchings or false diverticula of the colonic wall are recorded, and our
personnel has often spoken of the absence of these gross abnormalities
of the alimentary tract. The two cases, notes of which are given, are
instances of hernial pouchings of the colonic mucosa and serosa, a
condition which is well known in human medicine. It may be said to occur
in two varieties, one in which the pouchings have heavy walls formed by
a thickened mucosa, muscularis and peritoneum and one in which the
bulgings have delicate walls, then being small herniæ of the inner coats
through rifts in the outer. Such a division is probably unnecessary or
misleading since the latter may be only a forerunner of the former.
However the clinical evidence of the simple variety is scanty and may be
little more than constipation while the peritonitic variety gives a
clinical picture of pain, constipation and a mass in the left abdominal
area, then known as diverticulitis or pericolitis sinistra. In these
cases the colon is much distorted by the irregularity of its mucosa and
by inflammatory thickening of the muscularis and serosa. Diverticula
arise from defects of the muscular coat, or secondarily after
inflammation or prolonged constipation, by weakness of muscle, or as
hernial protrusions around the entrance of blood vessels where the
muscle is thin. Such sacculations permit feces to collect and continue
the inflammation, thus further weakening the gut and producing
constipation, the whole vicious cycle being favorable to the formation
of more sacculations; coproliths may form in the diverticula. The two
monkeys now reported seem to have varying grades of the same condition,
a long standing colitis with diverticula, constipation and the
collection of inspissated feces in the sacculations. These animals did
not have hemorrhoids.
Black Ape ♀ (_Cynopithecus niger_). Coprostasis. Coproliths in
diverticulum. Chronic colitis. Cor bifida. The large intestine is of
the same calibre as the small intestine should be when not distended.
The sacculations as seen before opening the organ are salient, forming
distinct pouches. In one or two cases they are so pronounced as to
constitute diverticula 7 cm. long. In two instances the serosa at the
fundi of these diverticula is markedly hyperemic and very thin. In
many cases the sacculations contain coproliths. The wall of the organ
is distinctly thickened, puckered, inelastic and opaque. Mucosa is
thrown up into coarse rugæ.
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