Peritonitis
Yes, my uterus was removed — peritonitis had set in. But it is wonderful. I am no longer bothered with the monthly period - Jacqueline Susann, Valley of the Dolls
HWN Suggests
Acute Bacterial Peritonitis in Adults
The nonspecific clinical presentation of primary peritonitis varies drastically from the conspicuous presentation of secondary peritonitis. Unlike secondary peritonitis, primary peritonitis may develop over several weeks without any signs of acute distress. Although the patient may complain of abdominal tenderness, nausea, vomiting, or diarrhea, primary peritonitis is usually first suspected when the dialysate appears cloudy in patients undergoing peritoneal dialysis or when encephalopathy worsens in patients with cirrhosis. The laboratory findings following suspicion of primary peritonitis may show mild elevation of the white blood cell (WBC) count and a positive culture of the peritoneal…
Articles of Interest
An introduction of Tertiary Peritonitis
Intraperitoneal infection known as peritonitis is a major killer in the practice of clinical surgery. Tertiary peritonitis (TP) may be defined as intra-abdominal infection that persists or recurs 48 h following successful and adequate surgical source control.
Causes of Acute Peritonitis and Its Complication
Acute peritonitis is a serious surgical emergency caused by a number of diseases. Early surgical treatment along with antibiotics, followed by aggressive resuscitation can yield improved outcomes in patients with peritonitis.
Don't Get Fooled, Consider Secondary Bacterial Peritonitis First!
Secondary bacterial peritonitis is a rare, but important entity occurring in cirrhotic patients. It is important to differentiate secondary peritonitis from spontaneous bacterial peritonitis (SBP), as surgical intervention should be considered in patients with secondary peritonitis.
Management of Peritonitis in the Critically Ill Patient
Severe secondary peritonitis is an entity that continues to carry a significant mortality, despite advancements in critical care support and antibiotic therapies. Surgical management is pivotal and requires a multidisciplinary approach to guide the timing and the number of interventions that may be necessary to eradicate the septic foci and create the optimal conditions for healing with the fewest possible complications.
Peritonitis
Primary peritonitis refers to a spontaneous inflammatory condition in the absence of underlying intraabdominal pathology or known history of penetrating peritoneal injury. Secondary peritonitis occurs more commonly in the dog and cat and is the consequence of a preexisting aseptic or septic pathologic intraabdominal condition. Because of the multitude of conditions that may lead to peritonitis the types of clinical signs and their severity vary.
Peritonitis – the Western experience
Peritonitis can be defined in a variety of ways. Primary peritonitis is an infection of the peritoneal cavity usually occurring in patients with preexisting ascites that is not related to diseases of the abdominal or retroperitoneal viscera. Secondary peritonitis, the most common form of peritonitis, can occur due to spontaneous perforation of the gastrointestinal tract, intestinal ischemia, or following an operation
Peritonitis-an Overview
Normally, the peritoneum is quite resistant to infections. Bacteria injected into the peritoneal cavity are rapidly eliminated by phagocytosis. If the same amount of bacteria is injected into the subcutaneous or retroperitoneal region, abscess or diffuse cellulitis will develop. Bacterial peritonitis results from prolonged contamination or contact with highly virulent bacterial strains.
Peritonitis: limiting the damage
Reducing the morbidity associated with peritonitis is one of the major challenges to improve outcomes for patients on peritoneal dialysis (PD). In the short-term, during the actual episode, patients suffer pain, risk of hospitalization and social inconvenience, with extra and often numerous hospital visits.

