Difference between revisions of "Verminous Endarteritis"

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==== Verminous endarteritis ====
 
==== Verminous endarteritis ====
*Caused by larvae of ''S. vulgaris'' within the cranial mesenteric artery
+
*Caused by larvae of [[Strongylus vulgaris|''S. vulgaris'']] within the cranial mesenteric artery
 
*Also called "verminous aneurism" (misnomer as aneurism = dilatation/thinning of blood vessel wall; also, aneurisms are rare)
 
*Also called "verminous aneurism" (misnomer as aneurism = dilatation/thinning of blood vessel wall; also, aneurisms are rare)
 
*Wall of artery grossly thickened (organising thrombi, inflammatory responses)
 
*Wall of artery grossly thickened (organising thrombi, inflammatory responses)

Revision as of 11:49, 13 September 2010

Verminous endarteritis

  • Caused by larvae of S. vulgaris within the cranial mesenteric artery
  • Also called "verminous aneurism" (misnomer as aneurism = dilatation/thinning of blood vessel wall; also, aneurisms are rare)
  • Wall of artery grossly thickened (organising thrombi, inflammatory responses)
  • Can be detected on rectal palpation
  • Many cases asymptomatic
  • May get embolism → infarction of areas of intestinal wall → colic or chronic ulceration (note: generally good collateral circulation; therefore colic is not inevitable)
  • Aberrant larvae may cause thrombosis in other arteries; e.g. iliac, cerebral, coronary
  • Avermectin/milbemycins or fenbendazole are used to control migrating S. vulgaris larvae