DILATATION OF THE GALL BLADDER AND BILE DUCTS.

Causes: obstruction of common bile duct, distoma, round worms, tæmiæ,

gall stones, encrustations, inflammations, tumors, cicatrices,

hydatids. Congenital absence. Ducts stand out on liver. Symptoms of

colic, icterus, bile poisoning, marasmus. Treat the causative

conditions.

This may occur in all our domestic animals except solipeds in which

latter there is no gall bladder.

_Causes._ Any serious obstruction to the discharge of the bile into the

duodenum may cause it. The presence of trematodes, nematodes, or even

tæniæ in the ducts, gall stones, incrustations, occlusion of the ducts

by inflammatory swelling, tumors of the liver or adjacent parts,

echinococcus, cysticercus, or cicatrices may be cited. Cadeac mentions a

case of congenital atresia of the bile duct in the calf. Vigney records

a case in the cow in which the greatly dilated gall bladder formed a

hernial mass in the epigastric region which was, however, easily reduced

by manipulation.

In all such cases the distended bile ducts stand out as white branching

lines on the back of the liver converging toward the portal fissure. The

walls of the ducts may be attenuated or thickened and it is alleged

calcified. They are usually lined by a deposit of cretaceous consistency

precipitated from the retained bile. The contents of the distended ducts

and bladder are variable. They may have the color (yellow, green) and

consistency of bile; they may be thick, dense and albuminous; they may

be thin and serous from inflammatory or dropsical exudation; they may be

granular, or purulent.

Though there is no gall bladder, in the soliped, a similar condition of

the biliary ducts may be produced in the same way.

According to the degree of obstruction there may be more or less acute

symptoms of biliary colic, icterus, marasmus, poisoning by bile acids,

etc.

_Treatment_ must be directed toward the removal of the special cause of

dilatation.

Text book of veterinary medicine, Volume 2 (of 5) · 第 264 / 308 题