GI - SI & LI pt 2 Flashcards
What is the pathogenesis of intestinal displacements causing necrosis?
- displacement
- incarceration
- strangulation
- ischemia
- necrosis
what is incarceration? Can you correct these?
fixation of hernia or entrapped contents
no you can’t correct them
what is strangulation/strangulating obstruction?
ischemia with physical blockage of lumen
strangulation leads to ____, _____, and ____, which cause obstruction and progression
edema
congestion
hemorrhage
what does volvulus mean?
twist of the intestine on its mesenteric axis
what does torsion mean?
twist about the long axis of the viscus
What is intussusception?
telescoping of the intestine
basically one part of the intestines goes into another part
Intussusception:
1. what age group is this most common In?
2. what small animal species is this most common in? What is the type of intussusception?
3. what large animal species is this most common in? What is the type of intussusception?
- young
- dogs – ileocolic
- lambs, calves, young horses – small intestine, cecum, colon
Describe the difference between the intussuscipiens and the intussusceptum.
the intussuscipiens receives the intussusceptum
the intussusceptum is the part of the intestine that goes inside the other part of the intestine (intussuscipiens)
how are intussusceptions named? give me the names of these intussusceptions:
1. ileum moved into colon
2. jejunum moved into ileum
naming is intussuseptum followed by the intussuscipiens
1. ileocolic intussusception
2. jejunoileal intussusception
What are the causes of intussusception?
idiopathic
linear foreign body
heavy parasitism (anaplocephala perfoliate in horses)
previous sx
enteritis
intramural lesions (mass)
can also occur perimortem
How can you tell there has been an intussusception on necropsy?
intestinal wall will have 3 layers on cut section
This is a part of a dog intestine. What is the pathology shown? What is the most likely location based on what is most common in this species?
intussusception
most likely ileocolic
Hernias:
1. congenital or acquired?
2. what parts of the GIT are part of a hernia?
- can be both!
- omentum, intestine, rarely other abdominal organs
What is an internal hernia? common or uncommon? what species is this typically seen in?
displacement of intestine through normal or pathological foramina within the abdominal cavity (no hernial sac)
uncommon
horse
What are the types of internal hernias that we need to know?
- epiploic foramen entrapment
- gastrosplenic ligament entrapment
- omental hernia
- mesenteric hernia
What is an external hernia? what does it result in? common or uncommon?
displacement of intestine through an opening in the abdominal wall
results in the formation of a hernial sac covered by soft tissue and skin and variably a hernial ring (natural or acquired)
common
What are the types of external hernias that we have to know?
- umbilical hernia
- inguinal hernia
- diaphragmatic hernia
- ventral hernia of the abdominal wall
- others: femoral hernia, perineal hernia, prepubic hernias
Umbilical hernia:
1. common or uncommon? congenital or acquired?
2. species?
- very common. hereditary component
- pigs, foals, calves, dogs (most common congenital defect in cattle, hereditary in Holstein, predisposed by infection)
This is an ox. What is the lesion? (hint: look at the position of the lesion)
umbilical hernia
This is a guinea pig. What is the lesion? (hint: look at the position of the lesion)
inguinal hernia
inguinal hernia:
1. can evolve into a ____ hernia
2. what is patent in an intact male when this happens?
3. it can be heritable. What signalment is this seen in and why?
- scrotal
- inguinal ring
- female dogs, inguinal ring remains open
Diaphragmatic hernias:
- common or uncommon?
- usual cause?
common
trauma
This is a dog. What is the lesion? (hint: look at the location of the lesion)
diaphragmatic hernia