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
Congestion of the liver is a matter of small importance from the
standpoint of pathology unless it be of sufficient duration to cause
cyanotic atrophy and induration. However the facts that congestion of
this organ occurs three times as often in the mammal as in the bird and
that vascular cirrhosis has not been seen in the latter class, are
interesting and noteworthy. In addition ascites of hepatic origin has
not been seen in the birds. The explanation for this lies in the rich
anastomosis between the intestinal area and the caudal vena cava so that
the blood does not have to pass through the liver to reach the heart.
This arrangement would reduce the back pressure in passive congestion
and relieve the liver in the congestion due to toxic or inflammatory
distention of small vessels.
CIRRHOSIS.
The chronic inflammations or so-called cirrhoses of the liver have been
subjected to a great deal of study and many theories have been expounded
as to their cause and classification. Here is not the place to discuss
the academic question of nomenclature but rather to adopt an acceptable
working classification and to analyze our material thereon. A cirrhosis
is a chronic inflammation of the liver indicated by increased connective
tissue with evidences of degeneration and attempts at regeneration on
the part of the hepatic cells. Certain cases of increased connective
framework fail to show the last two features and, since they must be
grouped near the cirrhoses because of the prominence of connective
tissue, they are called _fibroses_, _perilobular in type_. Among the
instances carrying out the full stipulations are livers with evidence of
a perivascular fibrosis and obstruction, to which are added degeneration
and regeneration of the lobular margins; such are PORTAL CIRRHOSES in
human medicine associated with passive congestion in the intestinal
area, and ascites. In a second variety, fibrosis seems to succeed upon
obstruction to the biliary lumina or upon peribiliary inflammation,
BILIARY CIRRHOSES. The effects of this are to dam back bile with the
production of varying degrees of jaundice and for the inflammation to
spread into the lobules, thus distorting their internal architecture;
this form is therefore unlike portal cirrhosis which alters the size and
shape of lobules as a whole. Fatty change is very prominent in certain
cases and it has been a custom, perhaps without warrant, to put such
livers into a separate group. It may be that they represent a different
chemical process. When there exists for a long time a venous stasis in
the liver, necrosis is apt to occur in the cells subjected to pressure
and the absence of fresh blood. This gives rise to a “nutmeg” liver upon
which may succeed a definite perivenous fibrosis.
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