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
The succeeding paragraphs will reveal in comparison to
other organs only a small number of cases of degeneration, inflammation
and tumors. This has been ascribed to the freedom of blood supply and
the power of tryptic digestion.
An expression of this relative immunity to pathologic change is met in
analyzing the data upon the simplest lesions, degenerations, to be
expected in many states of disease. Only a small number of cases present
themselves, and they are under expected conditions, namely in
association with acute general infection, sometimes definitely
septicemic in nature. About half of them were discovered
microscopically, affecting the islands of Langerhans in vacuolization or
granular disintegration. Focal necroses of the organ were met four
times, three turkeys and a cockatoo. It is noteworthy that all these
birds had some involvement of the liver, twice a complete acute
hepatitis and twice a cholangitis. This is the more interesting since we
shall learn that the liver is less often involved in avian than in
mammalian pancreatitis. Hemorrhages occur occasionally in the pancreas
in acute general infections and are seen in acute inflammations of the
intestines; the percentage incidence with the latter is, however, very
small. Pancreatic apoplexy proper has not occurred, for all the
instances of large hemorrhage into the organ have been combined with
changes forcing a classification of acute pancreatitis.
PANCREATITIS.
Pancreatitis in the acute form is divided by many writers into
exudative, hemorrhagic and necrotizing, while for the chronic variety an
inter- and intra-acinus form has been described. It is questionable
whether it is fair in acute cases to focus attention by special
nomenclature on different macroscopic pictures, unless it be for
descriptive purposes solely, since there is nothing at hand to indicate
that differing agents cause one kind every time. The physical findings
seem to depend rather upon the speed of operation of the causation than
upon its essence. Sudden obstruction of the pancreatic duct is believed
to produce necrotizing processes to which hemorrhage may be added by
digesting of blood vessels. Exudative cases seem due to extension of
ulcerative inflammation, from a perforated gastric ulcer for example, to
which digestive pancreatitis may be added. The interacinus chronic
inflammations are usually considered as due to obstruction or infection
through the biliary or pancreatic ducts whereas vascular disease
produces intra-acinus connective tissue overgrowth. Analysis of the
records of this laboratory would seem to indicate that necrotizing and
hemorrhagic processes belong together, exudative in a class by
themselves, and that chronic disease may be either interlobular or
intra-acinar without regard to associated pathology. I have therefore
studied our cases from this standpoint.
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