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
=Verminous Aneurisms.= These are perhaps the most important lesions
caused by the sclerostome as they are the steppingstone to the dangerous
embolisms, and too often fatal colics and congestions of the intestines.
They are very common in some localities, and rare in others following
the distribution of the sclerostomata. Bollinger found them in 90 to 94
per cent. of adult horses, and Ellenberger in 84 out of 85 horses
dissected. They are found in all ages from six months up, and are nearly
always in the short, stubby trunk of the anterior mesenteric artery.
Often two or three exist in the same animal, the whole length of the
posterior aorta showing patches of disease, exudations, neoplastic
elevations alternating with depressions, and aneurisms and thrombosis in
its different branches. In 100 horses Bollinger found 168 aneurisms, 153
in the anterior mesenteric, and its divisions, 4 in the cœliac axis and
its divisions, 3 in the hepatic artery, 3 in the posterior mesenteric
artery, 3 in the renal arteries and 2 in the posterior aorta.
The special predisposition of the anterior mesenteric artery is
variously accounted for: 1st. There is the obvious fact that its
branches are distributed to the cæcum and double colon, the home of the
mature parasite, and to the small intestines which are first reached by
the young parasites that are taken in with the water and the food. These
are therefore most likely to get into the branches of this vessel and to
follow them up toward its origin. 2nd. The anterior mesenteric artery
distributes its branches to the small intestines the most motile portion
of the intestinal tract, and the cæcum and colon the most heavily loaded
with solid ingesta, it is therefore the most subject to traction, and
distensions, and the more so that the parent trunk is extremely short
and the divisions pass in all directions and to a large extent at right
angles, so that there is a dragging of the walls apart as well as an
obstruction to the blood flow and an increase of internal tension. The
distension, laceration, inflammation and softening of the internal coat
have accordingly been regarded as the starting point of an endarteritis
upon which the parasites have been implanted as a further cause of
trouble. We must not forget, however, that the sharp circle of teeth of
the parasite, by which it fixes itself on the intima of the vessel are
quite enough to produce initial endarteritis, without any assistance
from distension, traction or laceration.
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