Text book of veterinary medicine, Volume 2 (of 5)Law, James
Science
Text book of veterinary medicine, Volume 2 (of 5)
Law, James
Veterinary medicine
If the _stomach should become ruptured_ there is often vomiting, the
ingesta escaping by the nose, without any relief of the general
symptoms, but with an increasingly haggard expression of countenance,
sunken eye, and accelerated, weak, and finally imperceptible pulse. Cold
sweats, which may have been already present, become more marked and the
prostration becomes more extreme and the abdominal tenderness more
marked. There are muscular tremblings of the shoulders and thighs,
dilatation of the pupils, rapid breathing and stupor which presages
death.
Recovery may be hoped for if rumbling in the bowels commences anew, if
defecations continue and become soft and liquid, if urine is passed
abundantly and if the general symptoms are improved. Complete relief may
be had in five or six hours, and even in protracted cases in two days.
_Lesions._ The body is swollen, tense and resonant; the rectum usually
projects somewhat and is dark red; the intestines, small and large, are
tympanitic; the stomach is double or triple its usual size, tense and
resistant, and with its contents may weigh as much as 40 pounds. When
cut open its contents are seen to be disposed in the order in which they
were eaten, in stratified layers, the motions of the stomach have not
operated to mix them. There is no sign of digestion, unless it be in a
thin surface layer or film which may be white, pulpy and chymified. The
cuticular mucosa is usually unchanged further than its attenuation by
stretching, the alveolated mucosa also attenuated is congested, opaque
or slightly inflamed. The great curvature may be the seat of a rupture
the edges of which are slightly swollen, congested and covered with
small blood clots. The escaping ingesta usually remains enclosed in the
omentum, which thus looks like a larger stomach with extremely thin
gauze-like walls. If this is ruptured then the food floats in masses
among the convolutions of the intestines. The peritoneum is red,
hemorrhagic and covered with more or less exudation.
Another occasional lesion is rupture of the diaphragm. The liver and
spleen are usually small and comparatively bloodless, owing to the
compression.
_Diagnosis._ This is largely based on the speedy supervention of the
attack on a feed, the animal having been apparently well before, on the
onset by slight colics, rapidly passing into great and continuous
suffering and stupor, with tympanitic tension of the abdomen, and
suppression of the intestinal movements, in the absence of any distinct
or marked hyperthermia. The rapid progress to death or recovery is
equally characteristic.
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