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PATHOLOGY OF DIGESTIVE SYSTEM

Prof RS Chauhan
Department of Pathology
College of Veterinary and Animal Sciences
G B Pant University of Agri & Tech Pantnagar-263145
US Nagar Uttarakhand
www.profchauhan.in
E-mail: profchauhan58@gmail.com

Systemic Pathology Prof RS Chauhan


CONTENTS
o  Developmental anomalies
o  Pathology of Mouth cavity
o  Pathology of Esophagus and crop
o  Pathology of Stomach
o  Pathology of Intestines
o  Pathology of liver and pancreas
o  Pathology of peritoneum
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DEVELOPMENTAL ANOMALIES
o  Epitheliogenesis imperfecta of tongue
n  Abnormal smooth surface of tongue due to small
filiform papillae
n  Defect in autosomal recessive gene
n  Also known as smooth tongue
o  Cleft palate
n  Most common congenital abnormality occurs due to
failure of oral-nasal cavity to divide leaving cleft
‘hare lip’ condition

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DEVELOPMENTAL ANOMALIES
o  Mega colon
n  Distention of colon which abruptly terminate in rectum
due to mutant gene in dogs
o  Duplication of colon
n  In dog, the colon is duplicated from caecum to rectum
and this defect is associated with malformation in the
body of vertebrae T4 and T5
o  Atresia coli
n  In calf, the absence of colon occurs and the intestine
terminates in blind caecum
o  Atresia ani
n  This is absence of anal opening
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PATHOLOGY
OF
MOUTH CAVITY

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STOMATITIS
o  Stomatitis in the inflammation of mucosa of oral
cavity
n  Gingivitis: Inflammation of gums
n  Glossitis: Inflammation of tongue
n  Cheilitis: Inflammation of lips
n  Tonsilitis: Inflammation of tonsil
n  Palatitis / Lampas: Inflammation of palates

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STOMATITIS

Etiology
n  Trauma due to nails, wire, or any sharp
object like needle
n  Physical due to hot milk, medicines etc.
n  Chemical- Alkali / acids
n  Microorganisms- Bacteria, virus, fungi

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STOMATITIS

Macroscopic features

n  Catarrhal: Mucous


exudation in oral
cavity

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STOMATITIS
Fibrinous : False membrane in oral mucosa

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STOMATITIS

n  Vesicular : Vesicles


in oral mucosal e.g.
FMD

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STOMATITIS
n  Erosive : Erosions in oral mucosa e.g. Rinderpest

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STOMATITIS
n  Ulcerative : Presence of ulcers in oral mucosa e.g.
mucosal disease

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STOMATITIS
Microscopic features
n  Congestion of oral mucosa
n  Presence of erosions, vesicles or ulcers
n  Infiltration of neutrophils, lymphocytes and
macrophages
n  Presence of fibrinous exudate in the form of
diphtheritic membrane

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PATHOLOGY OF
ESOPHAGUS AND
CROP

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CHOKE

o  Choke is complete or partial obstruction of


esophagus either due to any foreign material or
pressure from adjoining areas

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CHOKE

Etiology

n  Beets, turnip, carrots, bone

n  Abscess tumor of neck area

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CHOKE
Macroscopic features
n  Tympany
n  Gangrene, sapremia
and toxaemia
n  Sac like dialatation
“Esophageal
diverticulum”
n  Perforation due to
sharp bone ends
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CHOKE

o  Microscopic features

n  Necrosis gangrene at a point of obstruction

n  Congestion hemorrhage in perforated cases

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ESOPHAGITIS

o  Esophagitis is the inflammation of esophagus


caused by trauma, parasites etc. and
characterized by catarrhal inflammation,
ulceration or stenosis due to fibrosis

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ESOPHAGITIS
Etiology
n  Trauma due to foreign bodies
n  Chemicals- Acids, alkalies
n  Infection- Mucosal disease virus
n  Parasite- Spirocerca lupi
n  Nutritional- Vit. A deficiency

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ESOPHAGITIS
Macroscopic features
n  Congestion
n  Ulcer formation
n  Red streaks of catarrhal inflammation
n  Stenosis due to fibrous nodules or
inflammatory exudate
n  Enlargement of glands

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ESOPHAGITIS

Microscopic features

n  Congestion, haemorrhage

n  Ulceration

n  Infiltration of neutrophils, lymphocytes

n  Sub-epithelial fibrosis/nodules by Spirocerea


lupi

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INGLUVITIS

o  Ingluvitis is the inflammation of crop caused by


fungi and characterized by ulcerative or
diphtheritic lesions

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INGLUVITIS

Etiology

n  Candida albicans


n  Monilia albicans

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INGLUVITIS
Macroscopic features
o  Turkis towl like appearance
in crop mucosa
o  Round and raised ulcers
o  In moniliasis, formation of
diphtheritic membrane

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INGLUVITIS

Microscopic features

n  Necrotic and ulcerative lesions

n  Fibrinous inflammation with infiltration of


mononuclear cells

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PATHOLOGY
OF
STOMACH

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TYMPANY

o  Tympany is accumulation of gases in rumen


due to failure of eructation as a result of
obstruction or due to excessive production of
gases characterized by distended rumen and
dyspnoea
o  It is also known as bloat

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TYMPANY

Etiology
n  Choke of esophagus
n  Sudden change in animal feed with high
content of legumes
n  Excessive lush green fodder

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TYMPANY

Macroscopic features
n  Rumen is distended due to excessive
accumulation of gases (CO2, H2S, CO)
n  Distended rumen compresses diaphragm
to hinder respiration
n  Tarry color blood, pale liver and rupture
of diaphragm
n  On rupture of rumen gas comes out (dry
tympany)

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TYMPANY
Macroscopic features
n  The gas is trapped in small bubbles in the
ruminal fluid forming foams and is not easily
removed
n  This is known as “frothy bloat”, which is
produced by saponin and water soluble
proteins and due to reduction in surface
tension in the absence of fatty acids that
favours froth formation

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TYMPANY

Microscopic features
n  Hemorrhage in lungs, pericardium, trachea
and lymph nodes
n  Atelectasis

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RUMENITIS

o  Rumenitis is the inflammation of rumen in


ruminant animals caused by change in diet,
chemicals or drugs and characterized by
seropurulent exudate or ulcer formation with or
without parakeratosis

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RUMENITIS

Etiology
n  Change in diet, corn or alfa-alfa hay
n  Chemicals/drugs e.g. potassium antimony
tarterate
n  Spherophorus necrophorus infection

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RUMENITIS

Macroscopic features
n  Ulcers
n  Spherical white nodules of 1-2 cm diameter
size
n  Sloughing of mucosa

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RUMENITIS
Microscopic features
n  Seropurulent exudate
n  Ulcers
n  Infiltration of lymphocytes and neutrophils
n  Fibrous nodules due to hyperplasia of
fibroblasts
n  Parakeratosis
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RETICULITIS

o  Reticulitis is the inflammation of reticulum in


ruminant animals caused by trauma/perforation
by foreign body including sharp object like
needles, wires, etc. and characterized by
abscess formation, adhesions, peritonitis and
pericarditis

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RETICULITIS

Etiology

n  Foreign body- sharp objects like needles,


wires etc.

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RETICULITIS
Macroscopic features
n  Perforation of reticulum by foreign body.
n  Abscessation/suppuration
n  Peritonitis, adhesions of reticulum with diaphragm
n  Pericarditis due to foreign body (traumatic reticulo
pericarditis)

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RETICULITIS

Microscopic features
n  Infiltration of neutrophils, macrophages,
lymphocytes
n  Proliferation of fibroblasts producing
adhesions
n  Liquifactive necrosis

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OMASITIS

o  Omasitis is the inflammation of omasum in


ruminant animals caused by Actinobacillus sp.
and characterized by granulomatous
inflammatory reaction

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OMASITIS

Etiology

n  Actinobacillus ligneiresi

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OMASITIS

Macroscopic features

n  Granulomatous nodules in omasum

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OMASITIS

Microscopic features

n  Typical granuloma formation

n  Sulfur granules of Actinobacillus in the


centre of lesion

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ABOMASITIS

o  Abomasitis is the inflammation of abomasum


in ruminants caused by chemicals/drugs,
bacteria, virus or parasites and characterized
by congestion, oedema and/or haemorrhagic
ulcers

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ABOMASITIS

Etiology
n  Chemicals/drugs
n  Bacteria e.g. Clostridium septicum cause of
Braxy
n  Virus e.g. Hog cholera, Mucosal disease
n  Parasites e.g. Theileria sp.

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ABOMASITIS

Macroscopic features
n  Presence of ulcers (button ulcers
in Hog cholera)

n  Congestion, oedema of abomasal


folds, haemorrhage in braxy

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ABOMASITIS
o  Microscopic features
n  Catarrhal, hemorrhagic abomasits
n  Presence of gram positive rods in case of braxy
n  Neutrophilic and lymphocytic infilteration
n  Congestion and haemorrhages
n  Ulceration with lymphocytic infiltration

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IMPACTION OF RUMEN AND RETICULUM

o  Impaction of rumen and reticulum is common


in cattle and buffaloes caused by heavy
carbohydrate diet and characterized by atony of
rumen, indigestion, acidosis and hemorrhage
on serous membranes

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IMPACTION OF RUMEN AND RETICULUM

Etiology
n  Overfeeding of carbohydrate feed
n  Lack of water
n  Defective teeth or damaged tongue
n  Paralysis of rumen

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IMPACTION OF RUMEN AND RETICULUM

Macroscopic features
n  Atony of rumen due to lactic acid
production
n  Rumen is filled with hard, caked
undigested food with foul odour
n  Hemoconcentration, anuria, blood
becomes dark in colour
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IMPACTION OF RUMEN AND RETICULUM

Microscopic features
n  Hemorrhage in lungs
n  Desquamation of ruminal epithelium
n  Lesions of acidosis/toxicosis

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GASTRITIS

o  Gastritis is the inflammation of stomach in non-


ruminant animals having simple stomach
caused by chemicals/ drugs, bacteria, virus,
parasite and characterized by congestion,
oedema, haemorrhage and ulceration

o  Inflammation of proventriculus in poultry is


termed as proventriculitis

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GASTRITIS

Etiology
n  Physical- overfeeding, trauma
n  Chemicals- Acid/alkali
n  Microorganisms such as bacteria, virus, fungi
n  Parasites e.g. Trichostrongyles sp.,
Hemonchus sp.
n  Uremia

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GASTRITIS

Macroscopic features
n  Congestion, oedema and haemorrhage
of mucosal surface
n  Thick mucous exudate in stomach
n  Presence of vesicles/ ulcers on gastric
mucosa

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GASTRITIS

Microscopic features
o  Congestion and hemorrhage of gastric mucosa
o  Presence of ulcers/necrosis
o  Infiltration of mononuclear cells
o  Lymphoid hyperplasia

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PATHOLOGY
OF
INTESTINES

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CATARRHAL ENTERITIS

o  Catarrhal enteritis is characterized by increased


number of goblet cells, congestion and
infiltration of neutrophils and mononuclear cells
in mucosa of intestine

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CATARRHAL ENTERITIS

Etiology
n  Physical- Foreign bodies and corase feed
n  Chemical- drugs
n  Microorganisms- E.coli, Salmonella sp.,
viruses
n  Parasites- Coccidia

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CATARRHAL ENTERITIS

Macroscopic features
n  Presence of catarrhal exudate in
lumen of intestine and congestion
n  Thickening of the wall of intestine
n  Presence of parasites
n  Diarrhoea

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CATARRHAL ENTERITIS
Microscopic features
n  Increased number of
goblet cells in intestinal
villi, reduced length of
villi
n  Congestion
n  Infiltration of
polymorphonuclear and
mononuclear cells

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CATARRHAL ENTERITIS

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CATARRHAL ENTERITIS

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CATARRHAL ENTERITIS

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HAEMORRHAGIC ENTERITIS

o  Haemorrhagic enteritis is characterized by


inflammation of the intestines along with
haemorrhagic exudate

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HAEMORRHAGIC ENTERITIS

Etiology
n  Bacteria- E. coli, Bacillus anthracis ,
Salmonella sp.
n  Virus- Coronavirus, BVD, MD, RP
n  Parasites- Coccidia

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HAEMORRHAGIC ENTERITIS
Macroscopic features
n  Haemorrhagic exudate in
intestines; blood mixed
intestinal contents.
n  Petechial or echymotic
haemorrhage in mucosa
and submucosa of intestine
n  Presence of erosions/ulcers
in mucosa

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HAEMORRHAGIC ENTERITIS

Microscopic features
n  Haemorrhage in the mucosa of intestine
n  Infiltration of neutrophils and mononuclear cells
n  Erosion or ulcers in intestinal mucosa
n  Presence of coccidia in the mucosa

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CHRONIC ENTERITIS

o  Chronic enteritis is the chronic inflammation of


intestine characterized by proliferative changes
like proliferation of fibrous tissue, infiltration of
mononuclear cells and plasma cells in lamina
propria leading to hardening of intestinal wall

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CHRONIC ENTERITIS

Etiology

n  Mycobacterium paratuberculosis in bovines

n  Intestinal helminths

n  E. coli in poultry (Hjarre’s disease)

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CHRONIC ENTERITIS
Macroscopic features
n  Thickening of the wall of intestine
(Corrugations in Johne’s disease)
n  Thick mucous cover over mucosa of
intestine
n  Transverse corrugations in the large
intestine
n  Granulomatous nodules in duodenum
n  Small, round, raised necrotic foci on
serosal surface of intestine covering
whole length of intestine
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CHRONIC ENTERITIS

Microscopic features

n  Proliferation of fibrous tissue in lamina


propria

n  Infiltration of macrophages, lymphocytes,


plasma cells

n  Atrophy of intestinal glands

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NECROTIC ENTERITIS

o  Necrotic enteritis is characterized by necrosis of


mucosal epithelium of intestine leading to
erosions/ulcer formation and exposition of
underlying tissues

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NECROTIC ENTERITIS
Etiology
n  Salmonella
n  Rinderpest, rotavirus, cornovirus, Hog
cholera virus
n  Coccidia, Histoplasma
n  Niacin deficiency
n  Clostridium sp. after coccidial infection in
birds
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NECROTIC ENTERITIS
Macroscopic features
n  Necrotic patches in
intestines
n  Fibrinous deposits over
necrotic patches like bran
deposits
n  Swelling of mesenteric
lymphnodes
n  Ulcers in intestine

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NECROTIC ENTERITIS
Microscopic features
n  Congestion and infiltration of
mononuclear cells
n  Necrosis and desquamation of intestinal
villus epithelium, leading to exposed
underlying tissue
n  Ulcers in mucosa
n  Proliferation of crypt epithelium,
presence of abnormal epithelium over
villus surface
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PARASITIC ENTERITIS

o  Parasitic enteritis is caused by parasites and


characterized by catarrhal and/or haemorrhagic
exudate in intestine, presence of ova/adult
parasite and thickening of the wall of intestine

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PARASITIC ENTERITIS
Etiology
n  Helminths
n  Roundworms
n  Tapeworms
n  Protozoa
n  Coccidia
n  Histoplasma

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PARASITIC ENTERITIS
Macroscopic features
n  Presence of parasite helminths in the lumen of
intestine
n  Thickening of the wall of intestine
n  Catarrhal or haemorrhagic exudate in intestine

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PARASITIC ENTERITIS
Microscopic features
n  Presence of large number of goblet cells in
mucosa of intestine
n  Congestion and/or haemorrhage
n  Presence of parasite/ova in the intestinal
lumen
n  Infiltration of eosinophils in mucosa and
submucosa of the intestines

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FIBRINOUS ENTERITIS

o  Fibrinous enteritis is the fibrinous inflammation


of intestine characterized by presence of
fibrinous exudate comprising of
pseudomembrane in the mucosa of intestine

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FIBRINOUS ENTERITIS

Etiology
n  Salmonella choleraesuis
n  Spherophorus necrophorus

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FIBRINOUS ENTERITIS
Macroscopic features
n  Presence of diphtheritic
membrane over mucosa of
intestine
n  Button ulcers
n  Sometimes, diphtheritic
membrane covers the faeces

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FIBRINOUS ENTERITIS

Microscopic features
n  Congestion and haemorrhage in intestine
n  Thickening of intestinal wall due to fibrinous
exudate
n  Fibrin network in mucosa

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GRANULOMATOUS ENTERITIS

o  Granulomatous enteritis is caused by bacteria


or fungi and characterized by granuloma
formation in the intestines

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GRANULOMATOUS ENTERITIS

Etiology
n  Mycobacterium tuberculosis
n  Coli granuloma- E. coli in poultry (Hjarre’s
disease)
n  Coccidioiodomycosis / candidiasis

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GRANULOMATOUS ENTERITIS
Macroscopic features
n  Granulomatous about cm
diameter elevated/ raised
areas on the serus surface of
intestine
n  Thickening of the wall of
intestine
n  Small, tiny, white necrotic
nodules on serosa
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GRANULOMATOUS ENTERITIS
o  Microscopic features
n  Granuloma formation consisting of central
necrosed area covered by lymphocytes,
macrophages, epithelioid cells, giant cells
and fibrous connective tissue
n  Extensive proliferation of fibrus tissue
n  Presence of bacteria / fungus in the lesion

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INTESTINAL OBSTRUCTION
o  Obstruction of intestines may occur as a result
of foreign bodyor due to hypermotility of
intestines leading to intussusception, volvulus
or torsion
n  Enterolith
n  Piliconcretions
n  Phytobezoars
n  Polybezoars

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INTESTINAL OBSTRUCTION
o  Enterolith
n  Concretions in intestines
particularly in horses are
responsible for obstruction
of intestinal tract and are
responsible for “colic in
horse” and enterocolitis

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INTESTINAL OBSTRUCTION
o  Piliconcretions
n  Piliconcretions are hair balls mostly found in
stomach/intestines of those animals having habit
of licking
n  This vice is more common in suckling calves and
in animals with pica related to phosphorus
deficiency
n  Hairs are accumulated in rounded shape due to
movements of stomach and look like balls
n  Hair balls are not degradable in gastrointestinal
tract and may cause obstruction
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Piliconcretions

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INTESTINAL OBSTRUCTION
o  Phytobezoars/Polybezoars
n  Concretions formed in gastrointestinal tract as a
result of deposition of salts around a nidus of
undigested plants or polythenes
n  They may cause obstruction in gastrointestinal tract

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INTESTINAL OBSTRUCTION

Foreign bodies
n  Foreign bodies like rubber balls, nuts, bones,
stones, plastic and rubber materials,
polythenes may obstruct the intestinal tract
as they are not degradable in the
gastrointestinal tract

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INTESTINAL OBSTRUCTION

Hernia
n  Hernia is presence of intestinal loop in umbilical
area, scrotum or inguinal cavity which causes
passive congestion, oedema and obstruction in
intestines

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INTESTINAL OBSTRUCTION
Intussusception
n  Intussusception is telescoping of intestine means a
portion of intestine enters in caudal segment due to
violent peristaltic movement
n  It causes obstruction, passive congestion and
oedema

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INTESTINAL OBSTRUCTION
Volvulus
o  In volvulus, the loop of intestine passes
through a tear in mesentery
o  It causes obstruction at both ends of loop

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INTESTINAL OBSTRUCTION

Torsion
n  Torsion is twisting of intestine upon itself
causing obstruction

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TYPHLITIS
o  Typhlitis is the inflammation of caecum

o  It is particularly important in poultry caused by


protozoan parasites and characterized by
haemorrhage, thickening of the wall, presence
of cheesy exudates and/or necrotic ulcers

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TYPHLITIS

Etiology

n  Eimeria tennella

n  Histomonas meleagridis

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TYPHLITIS
Macroscopic features
n  Haemorrhage in caecum, blood mixed contents
n  Thickening of the wall, with congestion and cheesy
exudates
n  Presence of necrotic ulcers in caecum in case of
histomoniasis which is further supported by round,
depressed, yellowish green areas of necrosis in liver

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TYPHLITIS

Microscopic features

n  Congestion, haemorrhage, necrosis

n  Presence of protozoan parasites

n  Necrotic hepatic lesions

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HEPATITIS

o  Hepatitis is the inflammation of liver. It may be


acute or chronic. Acute hepatitis is
characterized by the presence of degeneration
and necrosis of hepatocytes and infiltration of
neutrophils and mononuclear cells along with
hyperemia and/or haemorrhage

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HEPATITIS
Etiology

n  Bacteria- Necrobacillosis, Salmonella, E. coli

n  Virus- ICH

n  Chemicals- Carbon tetrachloride

n  Parasites- Fasciola gigantica, Fasciola


hepatica

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HEPATITIS
Macroscopic features
n  Enlargement of liver
n  Congestion and/or haemorrhage
n  Presence of necrotic patches in
liver
n  Presence of fibrinous diphtheritic
membrane on liver

Systemic Pathology Prof RS Chauhan 105


HEPATITIS
Microscopic features
n  Cloudy swelling and/or fatty changes in liver
n  Congestion in blood vessels and in sinusoidal
area
n  Infiltration of neutrophils, macrophages and
lymphocytes
n  Necrosis of hepatic parenchyma

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HEPATITIS

Systemic Pathology Prof RS Chauhan 107


HEPATITIS

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Acute Toxic Hepatitis
o  In acute toxic hepatitis there is necrosis of
hepatocytes
o  According to location it can be classified
o  Diffuse necrosis covers a considerable area
crossing over the lobular boundaries
o  Focal necrosis occupying only a part of lobule
e.g. EHV induced aborted foetal liver

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Acute Toxic Hepatitis
o  Peripheral necrosis is characterized by necrosis at the
periphery of lobule due to presence of strong toxins in
blood
o  Midzonal necrosis have necrosis of cells in midway of
periphery and centre of lobule
o  Centrilobular necrosis is characterized by necrosis of
hepatocytes around the central vein occurs due to
stagnation of blood with toxaemia
o  Paracentral necrosis is characterized by necrosis of
hepatocytes at one side of central vein e.g. Rift valley
fever
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CIRRHOSIS

o  Cirrhosis is the chronic inflammation of liver


characterized by extensive fibrosis, hepatic
degeneration and necrosis

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CIRRHOSIS
Etiology
n  Bacteria- Salmonella, Spherophorus necrophorous
n  Virus- Infectious canine hepatitis
n  Chemicals- Carbon tetrachloride
n  Parasites- Fasciola hepatica, F. giantica
n  Poisons/toxins- Aflatoxins
n  Once cirrhosis starts, it is not checked even after
removal of the cause as the newly formed fibrous
tissue itself acts as an irritant to cause further
proliferation of fibroblasts
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CIRRHOSIS

Macroscopic features
n  Liver becomes hard and firm
n  Surface of liver becomes
uneven and nodular
n  Size of liver becomes reduced
due to atrophy
n  Colour becomes yellowish, grey
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CIRRHOSIS
Microscopic features
n  Increase in fibrous tissue
within and around lobules
n  Infiltration of macrophages
and lymphocytes
n  Central vein is either absent
or placed eccentrically

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CIRRHOSIS
Microscopic features
n  Hepatocytes show degenerative and necrotic
changes
n  Biliary cirrhosis is characterized by
proliferation of fibrous tissue around the bile
ducts encircling them e.g. Fasciola giantica
n  Glissonian cirrhosis is mostly confined to
areas at a short distance beneath the
capsule
Systemic Pathology Prof RS Chauhan 115
CIRRHOSIS
Microscopic features
n  Pigment cirrhosis is associated with yellow
discolouration
n  Central or cardiac cirrhosis is increase in fibrous
tissue around the central vein as a result of chronic
passive congestion
n  Parasitic cirrhosis occurs due to damage caused by
migration of parasites e.g. Ascaris lumbricoides,
Schistosoma sp.

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CHOLECYSTITIS

o  Inflammation of gall bladder characterized by


congestion, thickening of wall and infiltration of
mononuclear cells

o  Cholangitis is the inflammation of bile duct

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CHOLECYSTITIS

Etiology

n  Parasites- Fasciola sp.

n  Foreign body- Stones

n  Bacteria- E. coli

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CHOLECYSTITIS
Macroscopic features
n  Thickening of the wall of gall
bladder
n  On opening of gall bladder,
there may be parasites/
stones/ foreign body
n  Contents of gall bladder may
be watery or thick oily

Systemic Pathology Prof RS Chauhan 119


CHOLECYSTITIS
Microscopic features
n  Congestion
n  Proliferation of fibrous tissue in the wall of
gall bladder
n  Infiltration of mononuclear cells
n  Increased number of mucus secreting cells

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PANCREATITIS

o  Inflammation of pancreas characterized by


necrosis of pancreatic tissue, infiltration of
neutrophils and mononuclear cells and fibrous
tissue proliferation

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PANCREATITIS

Etiology

n  Bacteria

n  Virus- Reovirus in poultry

n  Parasites

Systemic Pathology Prof RS Chauhan 122


PANCREATITIS

Macroscopic features
n  Pancreas becomes pale, swollen,
oedematous
n  In chronic cases, atrophy of pancreas
n  Pancreas becomes hard, firm, and fibrous

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PANCREATITIS

Microscopic features
n  Necrosis of pancreatic cells
n  Oedema, infiltration of leucocytes,
haemorrhage
n  Fibrosis characterized by proliferation of
fibroblasts

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PATHOLOGY OF PERITONIUM

o  Inflammation of peritoneum characterized by


suppurative, sero-fibrinous or nodular lesions

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PATHOLOGY OF PERITONIUM

Etiology

n  Bacteria- Staphylococci, Mycobacterium sp.

n  Virus

n  Neoplasia

n  Parasites

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PATHOLOGY OF PERITONIUM
Macroscopic features
n  Sero fibrinous, fibrinous,
suppurative or granulomatous
lesions
n  Accumulation of clear fluid is
known as Hydroperitoneum or
Ascites
n  P r e s e n c e o f n o d u l e s i n
tuberculosis is also termed as
Pearly disease

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PATHOLOGY OF PERITONIUM

Microscopic features

n  Serofibrinous,
suppurative or
granulomatous lesions

n  Thickening of
peritoneum, adhesions
due to fibrosis
Systemic Pathology Prof RS Chauhan 128
Systemic Pathology Prof RS Chauhan 129

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