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
As indicating a favorable termination there may be restoration of the
rumbling, the passage of fæces at first perhaps in the form of solid
cylindroid masses, and later as a mixture of broken up ingesta, liquid
and gas, the tension of the abdomen disappears, the pains lessen and
cease, and there is a gradual restoration to health.
_Lesions._ The abdominal walls are tense and more or less drumlike, and
when these are cut through the large intestines protrude strongly. When
punctured there is a free discharge of gas. The most common seat of
obstruction is the pelvic flexure, but it may occur in the floating
colon, or rectum, in the double colon even at other parts than its
pelvic flexure, in the cæcum or in the ilio-cæcal opening. The impacted
mass is firm, rather dry, covered with mucus and sometimes blood, and
manifestly only partially digested. Its size and form vary greatly as it
is moulded into the affected viscus. The mucosa in contact with the
impacted mass is covered with a thick layer of viscid mucus sometimes
streaked with blood. The mucosa itself is congested, thickened, friable,
and marked with spots or patches of various colors (white, gray, green,)
indicating commencing necrosis. In old standing cases this may extend to
the other coats of the bowel determining perforation or laceration.
The portion of the bowel immediately in front of the obstruction is
filled with liquid which has been forced down upon the barrier by the
active peristaltic movements, and the distension by liquid and gas may
have increased until rupture has ensued with the escape of the contents
into the peritoneal cavity. Invagination, volvulus and peritonitis are
common.
_Treatment._ This will vary according to the stage and degree of the
illness. In slight cases with transient colics only after meals, a more
laxative diet may suffice. Boiled flaxseed, roots, potatoes, apples,
green cornstalks, silage, or even sloppy bran mashes, with an abundance
of good water and active exercise may prove efficient. Copious
injections of warm water, soapsuds, or linseed oil emulsion may be
added.
In the more violent cases we must resort to more active measures and yet
drastic purgatives are full of danger. The free secretion from the
vascular small intestines and the active vermicular movements, lead to
the speedy overdistension of the bowel just in front of the obstruction,
the current being strong and active all around the contracting gut in
contact with the mucosa, while a weaker return current sets in in the
centre, but is effectually checked and arrested at no great distance in
front of the impaction by the strong backward peripheral stream. If
therefore the impaction is not broken up, it is inevitable that the gut
above must be more and more distended until a rupture ensues.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account