Diaphragmatic rigidity impedes respiratory movements. Blastomyces dermatidis recovered from the peritoneal cavity by diagnostic peritoneal lavage has been reported for the first time in a dog.233 Other fungal causes of presumed primary peritonitis include histoplasmosis and candidiasis in addition to sporadic reports of other opportunistic organisms.290
Figure 86-5 Ventrodorsal (A) and lateral (B), pneumocystogram and positive contrast vaginogram. In some cases, fistulae to the skin surface or other organs may form.
Omphalocele is an embryonic herniation of abdominal contents through the umbilicus into the umbilical stalk.
Other innate defenses include absorption of bacteria through diaphragmatic lymphatics, phagocytosis by resident leukocytes and macrophages, abscess formation, and activity of resident natural killer cells.142, The specific immune system, mediated by lymphocyte activity, provides a secondary amplification system in response, particularly to intraabdominal sepsis. Log In or, (Modified from Evans HE, de Lahunta A, editors: Miller’s anatomy of the dog, ed 4, St Louis, 2013, Saunders/Elsevier. The abdominal cavity in some animals has an incomplete mesodermal lining at the level of the umbilicus. Other organs located in the retroperitoneal space are the kidneys, … Peritoneal fluid has innate antibacterial activity mediated by the complement system. To prevent contamination of the peritoneal cavity with surgical glove powder, gloves should be washed or wiped with sterile saline before entering the abdomen. There are two main groups: intraperitoneal and retroperitoneal organs. Abdominal CT suggests that the bullet is lodged in a retroperitoneal structure. ), Click to share on Twitter (Opens in new window), Click to share on Facebook (Opens in new window), Click to share on Google+ (Opens in new window). Transverse Fascia, Peritoneum, and Peritoneal Cavity The diaphragm, the lumbar vertebrae and sublumbar muscles, the oblique and transverse abdominal muscles plus a small portion of the ilial wing on each side, and the rectus abdominus muscles bound the abdominal cavity.97. The abdominal and pelvic cavities communicate freely at the pelvic inlet. Intraabdominal accumulations of gas, fluid, or tissue; multiple trauma; severe forms of acute pancreatitis; abdominal surgery; insufflation for laparoscopy; and external abdominal counterpressure elevate IAP.7,64 IAP is also increased in obesity and after massive fluid resuscitation.43 Other openings of the caudal abdomen include the inguinal canal on each side, allowing passage of the vaginal process with spermatic cord in the male and round ligament in the female, external pudendal vessels, and genital nerve; and the right and left vascular lacunae in the caudal abdomen containing the femoral artery and vein, lymphatics, and saphenous nerve.97. These include ischemia, chronic bowel distension, endotoxemia, electrolyte imbalances, and the effects of anesthesia.320 The peritoneum is a bidirectional semipermeable membrane capable of both absorption and exudation or transudation.337 The peritoneum allows free exchange between peritoneal fluid and plasma, hence the efficacy of techniques such as peritoneal dialysis. Antibacterial activity of normal peritoneal fluid is nonspecific, through complement and fibronectin. The peritoneum is the serous membrane that forms the thin lining of the abdomen. Caudal to the umbilicus, the linea alba gradually narrows and thickens, finally blending with the prepubic tendon. • Intraperitoneal alimentation Primary or metastatic neoplasms of the peritoneum may also result in aseptic generalized peritonitis. Mesothelial cell loss occurs with exposure of the peritoneum to air or saline. Pathophysiology
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