FOREIGN BODIES IN THE LIVER.

In _horse_: spikes of leguminosæ, barley awns. Symptoms: of internal

hemorrhage, pallor, weakness, vertigo, death; jaundice, prostration,

stupor, weakness, crossing of fore limbs, tender right hypochondrium.

In _cattle_: bodies passing from rumen. In _swine_, sand. In _dog_,

sharp bodies from stomach. Treatment: laparotomy.

Foreign bodies are rare in the liver in our domestic animals. _Horse._

St. Cyr has found the spikes of leguminosæ and Megnin the beards of

barley. St. Cyr believed that he traced the passage followed by the

stalk through the walls of the duodenum, and portal vein where it

divided to be distributed through the liver. At the point of supposed

entrance the walls of the vena portæ were thickened and its lumen filled

with clots. The further course of the portal vein and its branches

showed similar thickening and clots, and on the branch leading to the

right lobe was a large abscess containing 4 decilitres of pus. Clots

extended into the splenic, omental and mesenteric veins, and between the

folds of the mesentery of the small intestine were a number of minute

ruptures and blood extravasations.

Megnin found traces of the passage of the barley beards through the

gastric walls and into the substance of the liver close to the portal

fissure. Around the centre where the barbs were implanted there was an

irregular hæmorrhagic extravasation in the liver, and in the abdominal

cavity an effusion of 8 or 10 quarts of blood.

_Symptoms._ In such a case the only definite symptoms are those of

internal hemorrhage, pallor of the mucous membranes, gradually

increasing weakness, vertigo, unsteady gait, and an early death. In more

protracted cases slight jaundice, dullness, prostration, stupor,

drooping of head, ears and eyelids, resting it on the manger or walls,

muscular weakness, crossing of the front limbs, and it may be tenderness

on percussion on the right side of the chest posteriorly. It resembles

the _coma_ or _immobility_ of the horse but the patient backs more

easily.

_Cattle._ In ruminants sharp pointed bodies passing from the rumen will

occasionally penetrate the liver, and give rise to symptoms of hepatic

disorder. Augenheister found in a cow dilatation of the larger bile

ducts, which contained about 10 quarts of sand, that had apparently

entered from the duodenum by the common bile duct which had an orifice

of an inch in diameter.

_Pig._ The gall ducts of a pig’s liver, in the Veterinary College of

Berlin contains a large amount of sand (Gurlt).

_Dog._ The liver is exceptionally perforated by sharp pointed bodies

coming from the stomach. Cadeac and Blanc report three cases of needle

in the liver. Blanc’s case had been killed because of old age; one of

Cadeac’s showed symptoms resembling rabies.

_Treatment_ of these cases would be very hopeless as nothing short of

laparotomy and the removal of the foreign body would promise success.

Text book of veterinary medicine, Volume 2 (of 5) · 第 272 / 308 题