scholarly journals Digestive System, Liver, and Abdominal Cavity

The Cat ◽  
2012 ◽  
pp. 425-546
2017 ◽  
Vol 73 (2) ◽  
pp. 124-128
Author(s):  
Maciej Witkowski ◽  
Bernard Turek ◽  
Marek Tischner

The aim of the study was to present clinical observations regarding the reposition of uterine torsion in pregnant mares. Treatments were performed in 10 mares hospitalized with a diagnosis of uterine torsion in the period from the 8th to the 11th month of pregnancy, including one mare treated during delivery. In 4 mares, obstetric examination revealed the presence of dead fetuses. In one mare admitted during labor, Kamer's repositioning technique was applied by inserting a hand through the vagina into the uterus. In all other cases, mares underwent surgical repositioning after laparotomy performed in linea alba. In 4 mares, in which the uterine wall was at risk of rupture during handling because of advanced changes, a caesarean section was performed before repositioning. Eight out of the 9 mares survived treatment and recovered without complications. One of five mares in which live fetuses were left, miscarried, while the other four delivered healthy foals. Uterine torsion reposition by midline laparotomy offers the best possibilities for inspecting the abdominal cavity, including the uterus, and for detecting any other abnormalities of the digestive system. In the case of mares in which fetuses were left, spontaneous delivery had no adverse effect on the healing of the wound.


2006 ◽  
Vol 6 (4) ◽  
pp. 45-47
Author(s):  
Zulfo Godinjak ◽  
Edin Idrizbegović ◽  
Kerim Begić

Following the abdominal surgery, extensive adhesions often occur and they can cause difficulties during laparoscopic operations. However, previous laparotomy is not considered to be a contraindication for laparoscopy. The aim of this study is to present that an insertion of Veres needle in the region of umbilicus is a safe method for creating a pneumoperitoneum for laparoscopic operations after previous laparotomy. In the last three years, we have performed 144 laparoscopic operations in patients that previously underwent one or two laparotomies. Pathology of digestive system, genital organs, Cesarean Section or abdominal war injuries were the most common causes of previouslaparotomy. During those operations or during entering into abdominal cavity we have not experienced any complications, while in 7 patients we performed conversion to laparotomy following the diagnostic laparoscopy. In all patients an insertion of Veres needle and trocar insertion in the umbilical region was performed, namely a technique of closed laparoscopy. Not even in one patient adhesions in the region of umbilicus were found, and no abdominal organs were injured.


2018 ◽  
Vol 46 (1) ◽  
pp. 7
Author(s):  
Lucilo Bioni Da Fonseca Filho ◽  
Priscilla Virgínio De Albuquerque ◽  
Silvia Fernanda Alcântara ◽  
Júlio Cézar dos Santos Nascimento ◽  
Maria Eduarda Luiz Coelho De Miranda ◽  
...  

Background: Sloths of the species Bradypus variegatus are mammals with peculiar habits, which feed mostly young leaves of ‘embaúba’ and occur broadly in Central and South America. This specie has the greatest occurrence in Brazilian Northeast, making it a biological model for several researches in the fields as anatomy, physiology, genetics, pathology, histology and ecology, which provide data to literature in order to benefit maintenance and preservation of these animals. This study aimed to describe unpublished data about small and large intestine anatomy of the sloth Bradypus variegatus, in order to collaborate for knowledge of its digestive processes.Materials, Methods & Results: In order to perform this present research, 10 corpses of specie Bradypus variegatus belonged to the acquis of Anatomy Division, Department of Animal Morphology and Physiology (DMFA); Federal Rural University of Pernambuco (UFRPE), with 5 males and 5 females, the study was authorized by Animal Use and Experimentation Ethic Committee license (CEUA-UFRPE), nº 034/2015. All 10 animals used had natural death, were obtained through a donation of CETAS Tangará (Centro de Triagem de Animais Silvestres - Wildlife Screening Center), and located in the city of Recife. Animals were dissected at abdominal and pelvic portion, from a median sagittal incision, followed by lateral folding of skin, muscle and withdrawal of pubis portion for exposition and description of intestines, with analysis of syntopy and measurement of these organs. A relation was observed among external holes of urinary, reproductive and digestive systems. A relation was still observed among intestines and stomach, liver, kidneys, bladder and abdominal cavity wall. Some animals had absence of sigmoid colon, ventral and dorsal descendent colon. Regarding measurement, small intestine ranged from 147.09 to 163.59 cm for males and 117.44 to 151.28 cm for females, while large intestine varied between 39.68 and 43.35 cm for males, and 33.19 and 44.47 cm for females. Urinary and reproductive systems had a same external hole at perineal portion for both gender. Whereas digestive system ended at anus as occur commonly among mammals.Discussion: Among specimens described, most had the same anatomic profile regarding the intestinal portions and syntopy performed over other abdominal cavity organs. A difference was observed on liver size, increment of 20% for females and males sampled, excluding animals that had absence of structure that were minority, once 40% of females had no ventral descending colon, 20% of males and females had no sigmoid colon, and 20% of males had no dorsal descending colon. However, some animals that had absence demonstrated increase of other adjacent structures, for example, male that had no dorsal descending colon developed the largest sigmoid colon observed among animals measured for portions of duodenum, ventral descending colon, ascending colon and dorsal descending colon. Regarding the measurement of small and large intestine, Bradypus variegatus had differences compared to other herbivores, what suggests that this fact is associated to a restricted diet, in which that animal is submitted. Because of literature shortage about digestive system of specie Bradypus variegatus and other species of wild animals in general, it still difficult to infer or plot more accurate affirmations about this subject.


VASA ◽  
2011 ◽  
Vol 40 (6) ◽  
pp. 495-498 ◽  
Author(s):  
Rajkovic ◽  
Zelic ◽  
Papes ◽  
Cizmek ◽  
Arslani

We present a case of combined celiac axis and superior mesenteric artery embolism in a 70-year-old patient that was examined in emergency department for atrial fibrillation and diffuse abdominal pain. Standard abdominal x-ray showed air in the portal vein. CT scan with contrast showed air in the lumen of the stomach and small intestine, bowel distension with wall thickening, and a free gallstone in the abdominal cavity. Massive embolism of both celiac axis and superior mesenteric artery was seen after contrast administration. On laparotomy, complete necrosis of the liver, spleen, stomach and small intestine was found. Gallbladder was gangrenous and perforated, and the gallstone had migrated into the abdominal cavity. We found free air that crackled on palpation of the veins of the gastric surface. The patient’s condition was incurable and she died of multiple organ failure a few hours after surgery. Acute visceral thromboembolism should always be excluded first if a combination of atrial fibrillation and abdominal pain exists. Determining the serum levels of d-dimers and lactate, combined with CT scan with contrast administration can, in most cases, confirm the diagnosis and lead to faster surgical intervention. It is crucial to act early on clinical suspicion and not to wait for the development of hard evidence.


2020 ◽  
Vol 5 (5) ◽  

Background and Objective: Rosai-Dorfman disease (RDD) are usually misdiagnosed because of rarity and nonspecific clinical and radiological features. The aim of our study is to explore the clinical and imaging characteristics of RDD to improve diagnostic accuracy. Methods: Clinical and imaging data in 10 patients with RDD were retrospectively analyzed. 7 patients were underwent CT scanning and 3 patients were underwent MR examination. Results: 8 (8/10) patients presented with painless enlarged lymph nodes (LNs) or mass. 3 cases were involved with LNs, 5 cases were involved with extra-nodal tissues, and the remaining 2 cases were involved with LNs and extra-nodal tissue simultaneously. In enhanced CT images, enlarged LNs displayed mild or moderate enhancement, and 2 cases showed heterogeneous ring-enhancement. MR features of 3 patients with extra-nodal RDD, 2 cases showed a mass located in the subcutaneous and anterior abdominal wall respectively, and 1 case showed an intracranial mass. Besides, all lesions showed high signal foci on DWI images, and were characterized by marked heterogeneous enhancement with blurred edge. The dural/fascia tail sign and dilated blood vessels could be seen around all the lesions on enhanced MRI. Radiological features of 2 cases with LN and extranodal tissue involved, one case presented with the swelling and thickening of pharyngeal lymphoid ring and nasopharynx, meanwhile with enlarged LNs in bilateral submandibular area, neck and abdominal cavity, and also companied with osteolytic lesion in right proximal humerus. All these LNs displayed mild and moderate enhancement on CT images. Another case showed enlarged LNs in bilateral neck accompanied with soft tissue mass in the sinuses. Conclusions: RDD occurred commonly in young and middle-aged men and presented with painless enlarged LNs or mass.RDD had a huge diversity of imaging findings, which varied with different location. The radiological features, such as small patches of high signal foci in the masses on DWI images, heterogeneous enhancement and blood vessels around the masses, are helpful in diagnosis of extranodal RDD.


2018 ◽  
Author(s):  
Lamia Gargouri ◽  
Faten Hadjkacem ◽  
Dorra Ghorbel ◽  
Faiza Safi ◽  
Manel Hsairi ◽  
...  

2020 ◽  
pp. 15-22
Author(s):  
T.F. Tatarchuk ◽  
◽  
E.G. Manzhalii ◽  
D.V. Pominchuk ◽  
T.S. Shevchuk ◽  
...  

The article deals with the importance of nutritional support for cancer patients. The high frequency of malnutrition and impaired absorption of macro and micronutrients in cancer patients and, which, at its maximum, is anorexia-cachexia syndrome, is the direct cause of the patient’s death. The progression of the tumor process is always accompanied by a violation of nutritional status, which is manifested in changes in weight, weakness, decreased physical activity, and disorders of the digestive system. It is estimated that about half of cancer-related deaths can be prevented, many of which are due to diet and lifestyle. Dietary factors can be involved in the initiation of tumor growth (carcinogens), promote growth, or have protective activity against the development of cancer. Therefore, nutritional support is one of the important components of a multidisciplinary approach in the treatment of cancer. Based on the analysis of the literature, the main tasks of nutritional support, indications, methods and criteria for the effectiveness of therapeutic nutrition are determined for the practitioner, a brief overview of the diets that are used by cancer patients is presented, and a list of anticarcinogenic products is compiled. Key words: anticarcinogenic products, diet, nutritional support, cancer patient, cancer prevention, nutrition.


2019 ◽  
Vol 74 (5) ◽  
Author(s):  
Fang-Teng Liu ◽  
Han-Min Chen ◽  
Ying Xiong ◽  
Zheng-Ming Zhu

2018 ◽  
Vol 8 (1) ◽  
pp. 69-75
Author(s):  
R. R. Ishtukov ◽  
M. A. Nartailakov ◽  
V. S. Panteleev ◽  
V. V. Rezyapov

Introduction. One of the worst complication of different surgical diseases of abdominal cavity organs and of performed, on that regard, operational interventions, are intestinal festulas including without limitation deodenum fistulas. Longterm experience of surgical treatment of patients with unformed duodenal and high enteric fistulas show that it is feasible to have a clear surgical tactics with account of location level and type of fistulas, their quantity, volume of sarcous reduction, peritonitis and multi-organ failure syndrome. In this regard, the objective of this research is to find optimal surgical tactics and to determine the most effective method of treating duodenum fistulas of various causation.Materials and methods. Experimental work was carried out under conditions of experimentally formed intestinal fistula in rabbits of “Shinshilla” breed. After formation of fistula the animals were divided into 3 groups based on the method of removing artificially installed duodenal fistula: sealing through Albert — Schmieden — Lembert suture without fastening of suture line; sealing through fastening of intestinal suture with biological surgical glue; sealing through fastening with swine dermal collagen. Mechanical constancy of the sutures was measured with pneumocompression of sealed intestinal tract areas as well as with morphological study of surgical wound edges.Results. The results of histological study show that experiments with application of bio-implant demonstrated less vascular congestion and interstitial swelling. Phologistic infiltration also responded more efficiently both quantitatively (manifestation rate) and qualitatively (quick change of cell elements) in the group that used bio-implant.Conclusion. Results of morphological studies and pneumocompression data under modelling of duodenal fistulas in experimental animals show that application of bio-implant helps to earlier restore microcirculatory abnormality. 


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