Ischemic hepatitis induced by mesenteric volvulus in a patient with chronic obstructive lung disease

Nakajima, Tomoki; Konishi, Hideyuki; Sakamoto, Yoshikuni; Tatsumi, Yoshihide; Itoh, Yoshito; Tokita, Kazuhiko; Katoh, Miho; Yamane, Yukio; Okanoue, Takeshi; Kashima, Kei; Amaike, Hisashi; Sugihara, Hiroyuki; Tsuchihashi, Yasunari

doi:10.1007/s005350050032

Cited by 2 publications

(2 citation statements)

References 11 publications

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“…Portal hypoperfusion with resulting ischemic hepatopathy as can occur in GDV 48-51 might also be associated with mesenteric volvulus. 47,52 Gastric volvulus involves abnormal rotation of the stomach along 1 or both of its axes. Abnormal gastric distension can predispose to volvulus, and a wandering (displaced) spleen is frequently associated with the condition.…”

Section: Discussionmentioning

confidence: 99%

Diagnosis and treatment of mesenteric volvulus in a red kangaroo (Macropus rufus)

Knafo¹,

Rosenblatt²,

Morrisey³

et al. 2014

javma

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In the present report, the CT whirl sign was used to diagnose volvulus of the abdominal viscera, which suggests that this diagnostic indicator has utility in veterinary patients. Mesenteric volvulus with GDV was successfully treated in a nondomestic species. The tooth root abscess, a common condition in macropods, may explain the historic episodes of anorexia reported by the owner and may have contributed to the development of mesenteric volvulus and GDV in this kangaroo.

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Section: Discussionmentioning

confidence: 99%

Diagnosis and treatment of mesenteric volvulus in a red kangaroo (Macropus rufus)

Knafo¹,

Rosenblatt²,

Morrisey³

et al. 2014

javma

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“…If the portal flow decreases, the hepatic arterial supply is increased and vice versa [22]. A hepatic ischemic necrosis due to reduced mesenteric venous return and decreased portal blood flow accompanying intestinal infarction has not been reported except in a patient with chronic obstructive lung disease that could potentiate the hypoxia of hepatic tissue [14].…”

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confidence: 99%

Intestinal Volvulus with Coagulative Hepatic Necrosis in a Chicken

Haridy

Goryo

Sasaki

et al. 2010

The Journal of Veterinary Medical Science

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ABSTRACT. A 7-week-old SPF chicken inoculated at 4 weeks of age with chicken anemia virus was puffed up depressed and had ruffled feathers and a good body condition. Intestinal volvulus involving the jejunum and part of the duodenum forming two loops with one knob was observed. Microscopically, venous infarction of the obstructed loops, periportal and sublobular multifocal coagulative hepatic necrosis and granulomatous inflammation of the cecal tonsils were observed. Gram staining revealed no bacteria in hepatic tissue; however, gram-positive bacilli were detected in the necrotic debris in the intestinal lumen. Immunosuppression might have predisposed the chicken to intestinal and cecal tonsil infection that then progressed to volvulus. Loss of the mucosal barrier in infarction might allow bacterial toxins and vasoactive factors to escape into the systemic circulation (toxemia) and be responsible for the hepatic necrosis.KEY WORDS: CAV, hepatic necrosis, immunosuppression, intestinal volvulus.J. Vet. Med. Sci. 72(4): 489-492, 2010 Of the gastrointestinal tract derangements in fowl, intestinal intussusception [15,25], intestinal volvulus [1,5,11], proventricular intussusception [9,18,21] and herniation of the intestine through the post-hepatic septum into the ventral hepatic cavities [8] have been reported. Intestinal disarrangements rarely occur in fowl. There is paucity in reports about pathology and pathogenesis of intestinal derangements in Aves [4,25]. In horses, intestinal displacements that progress to incarceration or volvulus with strangulation and infarction are a common cause of colic and mortality. Torsion of the long axis of the mesentery is common in suckling ruminants and swine but rarely occurs in dogs and cats. Intestinal intussusception including the small intestine, cecum and colon is common in dogs, lambs, calves and foals [2].Intestinal volvulus is a twisting across the long axis of the gut characterized by compression of the thin-walled veins and obstruction of the influx of arterial blood, which eventually progresses to dilation, devitalization and venous infarction of the affected segment [2]. Whereas intestinal volvulus rarely occurs and is incidentally observed in chicken carcasses, intussusception occurs relatively frequently in diseases such as coccidiosis, ulcerative enteritis and worm infestation [4,25]. The present report describes a peculiar case of intestinal volvulus with hepatic necrosis in a chicken anemia virus (CAV)-inoculated SPF (specificpathogen-free) chicken and introduces a model for a predisposing factor for intestinal volvulus in the avian species.One 7-week-old SPF male chicken in an experiment concerning the pathology and immunohistochemistry of CAV infection at 4 weeks of age was sitting alone in the corner of a box and looked puffed up. It was reluctant to move (easy to catch) and had ruffled feathers, but its body condition was good. The combs, wattles and eyelids were cyanotic. Its blood was watery and exhibited delayed clotting. Its packed cell volume (PCV) w...

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Ischemic hepatitis induced by mesenteric volvulus in a patient with chronic obstructive lung disease

Cited by 2 publications

References 11 publications

Diagnosis and treatment of mesenteric volvulus in a red kangaroo (Macropus rufus)

Diagnosis and treatment of mesenteric volvulus in a red kangaroo (Macropus rufus)

Intestinal Volvulus with Coagulative Hepatic Necrosis in a Chicken

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