affection of digestive accessory organs liver a.congenital abnormalities 1)ectopia and increase...
TRANSCRIPT
![Page 1: Affection of digestive accessory organs Liver A.Congenital abnormalities 1)Ectopia and increase number of lobes. 2)Congenital absence of the portal vein](https://reader035.vdocuments.us/reader035/viewer/2022070411/56649f585503460f94c7d1e6/html5/thumbnails/1.jpg)
Affection of digestive accessory
organs
LiverA.Congenital abnormalities1)Ectopia and increase number of lobes.
2)Congenital absence of the portal vein or intrahepatic portal broaches
![Page 2: Affection of digestive accessory organs Liver A.Congenital abnormalities 1)Ectopia and increase number of lobes. 2)Congenital absence of the portal vein](https://reader035.vdocuments.us/reader035/viewer/2022070411/56649f585503460f94c7d1e6/html5/thumbnails/2.jpg)
Liver
B. Acquired lesions1)Injury
• Fracture and displacement of the ribs or sharp object migrating through intestinal wall.
• Severe trauma may result avulsion of vena cava which due to death within thirty minutes.
![Page 3: Affection of digestive accessory organs Liver A.Congenital abnormalities 1)Ectopia and increase number of lobes. 2)Congenital absence of the portal vein](https://reader035.vdocuments.us/reader035/viewer/2022070411/56649f585503460f94c7d1e6/html5/thumbnails/3.jpg)
Diagnosis1)Radiography.2)Paracentesis.3)Endoscapy.
Treatment Whole blood. Antibiotic (penicillin) Glucose infusion. Surgical operation.
Liver
![Page 4: Affection of digestive accessory organs Liver A.Congenital abnormalities 1)Ectopia and increase number of lobes. 2)Congenital absence of the portal vein](https://reader035.vdocuments.us/reader035/viewer/2022070411/56649f585503460f94c7d1e6/html5/thumbnails/4.jpg)
2)Abscess
• Caused by pyogenic organism may metastasis from adjacent visora or organs introduce into portal blood.
• Clinical signs
1. Exhibited malaise and loss of condition.2. Epagastric pain may be with fever.
• Treatment: Surgical drainage and antibiotic.
Liver
![Page 5: Affection of digestive accessory organs Liver A.Congenital abnormalities 1)Ectopia and increase number of lobes. 2)Congenital absence of the portal vein](https://reader035.vdocuments.us/reader035/viewer/2022070411/56649f585503460f94c7d1e6/html5/thumbnails/5.jpg)
3)Neoplasm
Primary liver tumors are more common than metastasis to the lungs and hepatic artery.
Treatment: Surgical removed.
Liver
![Page 6: Affection of digestive accessory organs Liver A.Congenital abnormalities 1)Ectopia and increase number of lobes. 2)Congenital absence of the portal vein](https://reader035.vdocuments.us/reader035/viewer/2022070411/56649f585503460f94c7d1e6/html5/thumbnails/6.jpg)
4)Chronic fibrosis and cirrhosis
The toxin or circulatory impairment can result in replacement of normal liver parenchyma with fibrous tissue.
Hepatotoxic drags such as carbon tetrachloride may cause extensive necrosis of the liver and subsequent fibrosis.
Liver
![Page 7: Affection of digestive accessory organs Liver A.Congenital abnormalities 1)Ectopia and increase number of lobes. 2)Congenital absence of the portal vein](https://reader035.vdocuments.us/reader035/viewer/2022070411/56649f585503460f94c7d1e6/html5/thumbnails/7.jpg)
1)Tumors Diagnosis1. Paracentesis presence of fresh blood.2. Microscopic examination.3. Culturing of aspirated blood growth of
tumor cells.4. X-rays.5. Endoscope.
Treatment: Splenectomy
Spleen
![Page 8: Affection of digestive accessory organs Liver A.Congenital abnormalities 1)Ectopia and increase number of lobes. 2)Congenital absence of the portal vein](https://reader035.vdocuments.us/reader035/viewer/2022070411/56649f585503460f94c7d1e6/html5/thumbnails/8.jpg)
2)Rupture
Splenic rupture is common following automobile injuries or sudden blows.
Diagnosis1. History of trauma.2. Evidence of shock.3. Abdominal tenderness.4. Abdominal paracentesis.
Treatment: Splenectomy.
Spleen
![Page 9: Affection of digestive accessory organs Liver A.Congenital abnormalities 1)Ectopia and increase number of lobes. 2)Congenital absence of the portal vein](https://reader035.vdocuments.us/reader035/viewer/2022070411/56649f585503460f94c7d1e6/html5/thumbnails/9.jpg)
3)Torsion of the splenic pedicle
Torsion of the splenic pedicle may occur suddenly Acute venous obstruction.
Clinical signs:1. Splenic enlargement.2. Progressive anemia, hypotension,
bilirubinuria and evidence of gastrointestinal disorder such as vomiting, colic, and gastric tympeny.
Spleen
![Page 10: Affection of digestive accessory organs Liver A.Congenital abnormalities 1)Ectopia and increase number of lobes. 2)Congenital absence of the portal vein](https://reader035.vdocuments.us/reader035/viewer/2022070411/56649f585503460f94c7d1e6/html5/thumbnails/10.jpg)
Treatment:1.Whole blood transfusion.2.Corrected immediately or splenectomy.
4)AbscessAbscesses of the spleen accompany
pyemia.
5)CystRarely occurs.
Spleen
![Page 11: Affection of digestive accessory organs Liver A.Congenital abnormalities 1)Ectopia and increase number of lobes. 2)Congenital absence of the portal vein](https://reader035.vdocuments.us/reader035/viewer/2022070411/56649f585503460f94c7d1e6/html5/thumbnails/11.jpg)
Complications of splenectomy
1.Hemorrhage.2.Injury to the tail of the pancreas.3.Abscess.4.Gastric perforation.
Splenectomy
![Page 12: Affection of digestive accessory organs Liver A.Congenital abnormalities 1)Ectopia and increase number of lobes. 2)Congenital absence of the portal vein](https://reader035.vdocuments.us/reader035/viewer/2022070411/56649f585503460f94c7d1e6/html5/thumbnails/12.jpg)
Indication of splenectomy
1.Splenic neoplasm.2.Splenic rupture.3.Splenic infarction4.Splenic torsion.5.Splenic abscess.
Splenectomy
![Page 13: Affection of digestive accessory organs Liver A.Congenital abnormalities 1)Ectopia and increase number of lobes. 2)Congenital absence of the portal vein](https://reader035.vdocuments.us/reader035/viewer/2022070411/56649f585503460f94c7d1e6/html5/thumbnails/13.jpg)
Clinical signs
1.Emaciation.2.Ascitis.
Diagnosis1.Clinical signs.2.Laperotomy.3.Endoscopy.
Splenectomy