CIRRHOSIS OF THE LIVER. FIBROID DEGENERATION.

Definition. Increase of connective tissue, decrease of gland

parenchyma. Causes: in man, alcoholism; in animals, chronic heart

disease, chronic recurrent perihepatitis, biliary obstruction, toxins.

In horses: age, emphysema, unwholesome fodders, vegetable alkaloids,

infection. Symptoms: prostration, hebetude, impaired appetite, colics,

constipation, later diarrhœa, unthriftiness, emaciation, dropsy,

icterus, ascites, intestinal catarrh, tender hypochondrium, early

fatigue. Lesions: increase of connective tissue, compression and

absorption of parenchymatous tissue, greatest around portal vessels,

thickening of fibrous stroma between capillaries of acini, shrunken,

granular, pigmented liver cells. Treatment: salines, Glauber salts,

diuretics, sodium carbonate, or iodide, or salicylate, derivatives,

mineral acids, bitters, open air, laxative food, pure water. In

cattle: obstruction to circulation or the flow of bile; advances from

the vessels, causes absorption, caseated foci, adhesions, enlarged

liver. Symptoms: jaundice, yellow, red, albuminous urine, chronic

indigestion, tends to fatal though slow advance. Treatment: green

food, open air life, saline laxatives, alkalies. In dog: common

following heart disease, parasites, bacteria. Lesions: Congested

brownish red liver, fibroid increase from Glisson’s capsule,

compression of acini, their elevation above surface, fatty and

pigmentary degeneration of hepatic cells, increasing sclerosis.

Symptoms: as in parenchymatous hepatitis with slower advance, in time

tender loins, brownish or reddish urine, ascites, intestinal catarrh,

it may be icterus. Treatment: Correct cardiac troubles, digitalis,

strophanthus, and intestinal, careful diet, mineral acids, bitters,

pure water, saline laxatives, antiseptics, alkaline diuretics.

Potassium iodide. Derivatives. Draw off liquid. Laxative

non-stimulating diet.

_Definition._ An interstitial inflammation of the liver characterized by

a great increase of the connective tissue and compression, atrophy and

degeneration of the glandular elements.

The same final result may undoubtedly originate in various different

primary morbid processes.

In man cirrhosis is looked upon as almost always the result of abuse of

alcohol. In animals this cannot be the case, apart from a few kept in

connection with breweries or distilleries.

In heart disease a long continued mechanical congestion of the liver

causes compression and degeneration of the secreting cells in the centre

of the acini (around the intralobular veins), while the peripheral

portions undergo cell proliferation and increase of connective tissue.

In chronic or recurrent perihepatitis, a whole lobe may be compressed by

the hyperplasia of the investing connective tissue, and the hepatic

cells are degenerated and absorbed.

Overdistension of the biliary ducts from obstruction to the flow of bile

(gall stone, catarrhal inflammation, constipation), leads to

proliferation and hyperplasia in the walls of the biliary radicals

throughout the entire liver.

The presence in the liver of toxic agents, ingested, or generated from

microbian fermentation in the intestinal canal or liver is another

recognized cause of connective tissue hyperplasia.

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