Hepatic Emergencies

James A. Perry, Matthew S. Mellema, William T Culp

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

This chapter discusses the various hepatic diseases that may be encountered as surgical emergencies and provides a detailed description of their preoperative evaluation, surgical techniques, postoperative care, and prognosis. It reviews the basic physiology and hepatic anatomy. By thoroughly understanding the anatomy and physiology, the outcome associated with the majority of pathological processes encountered at surgery can be maximized. Physiologic alteration in the contributions of the portal vein and hepatic artery to total hepatic afferent blood flow is largely a reflection of the hepatic arterial buffer response (HABR), which is discussed in more detail in the chapter. The diagnostic utility of preoperative liver cytology is debatable in the emergency setting. The postoperative management of dogs and cats undergoing emergency surgery of the liver is similar to that of other abdominal procedures. The chapter also discusses specific liver diseases such as hepatic neoplasia, hepatic trauma, liver lobe torsion, and hepatic abscess.

Original languageEnglish (US)
Title of host publicationSmall Animal Surgical Emergencies
PublisherWiley Blackwell
Pages159-169
Number of pages11
ISBN (Electronic)9781118487181
ISBN (Print)9781118413487
DOIs
StatePublished - Oct 10 2015

Fingerprint

Emergencies
liver
Liver
surgery
liver diseases
physiology
Anatomy
hepatic artery
postoperative care
liver abscess
portal vein
Liver Abscess
Postoperative Care
Hepatic Artery
cell biology
Pathologic Processes
blood flow
Portal Vein
prognosis
Cell Biology

Keywords

  • Cats
  • Dogs
  • Hepatic abscess
  • Hepatic arterial buffer response
  • Hepatic diseases
  • Hepatic neoplasia
  • Hepatic trauma
  • Liver lobe torsion
  • Splanchnic blood flow

ASJC Scopus subject areas

  • veterinary(all)

Cite this

Perry, J. A., Mellema, M. S., & Culp, W. T. (2015). Hepatic Emergencies. In Small Animal Surgical Emergencies (pp. 159-169). Wiley Blackwell. https://doi.org/10.1002/9781118487181.ch15

Hepatic Emergencies. / Perry, James A.; Mellema, Matthew S.; Culp, William T.

Small Animal Surgical Emergencies. Wiley Blackwell, 2015. p. 159-169.

Research output: Chapter in Book/Report/Conference proceedingChapter

Perry, JA, Mellema, MS & Culp, WT 2015, Hepatic Emergencies. in Small Animal Surgical Emergencies. Wiley Blackwell, pp. 159-169. https://doi.org/10.1002/9781118487181.ch15
Perry JA, Mellema MS, Culp WT. Hepatic Emergencies. In Small Animal Surgical Emergencies. Wiley Blackwell. 2015. p. 159-169 https://doi.org/10.1002/9781118487181.ch15
Perry, James A. ; Mellema, Matthew S. ; Culp, William T. / Hepatic Emergencies. Small Animal Surgical Emergencies. Wiley Blackwell, 2015. pp. 159-169
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