Peritonitis

Syaiful mukhtar

Peritonitis
Peritonitis is an inflammation (irritation) of
the peritoneum, the thin tissue that lines the
inner wall of the abdomen and covers most of
the abdominal organs.
a bacterial or fungal infection of the
peritoneum .

Peritonitis

Peritonitis - spontaneous / primary

Peritonitis - secondary
Tertiary , after laparotomy, fungal
Peritonitis - dialysis associated

Local or generalize.

anatomy

anatomy

anatomy

Symptom & Sign

Fever and chills

Fluid in the abdomen
Passing few or no stools or gas
Excessive fatigue
Passing less urine
Nausea and vomiting
medlineplus

Symtom & Sign

Abdominal pain or tenderness
Bloating or a feeling of fullness (distention) in your
abdomen
Fever
Nausea and vomiting
Loss of appetite
Diarrhea
Low urine output
Thirst
Inability to pass stool or gas
Fatigue
mayo clinic

Causes of peritonitis
Medical procedures, such as peritoneal
dialysis.
A ruptured appendix, stomach ulcer or
perforated colon
Pancreatitis.
Diverticulitis
Diverticulosis

Risks factor

Liver disease (cirrhosis)

Fluid in the abdomen
Weakened immune system
Pelvic inflammatory disease
Risk factors for secondary peritonitis include:
Appendicitis (inflammation of the appendix)
Stomach ulcers
Torn or twisted intestine
Pancreatitis
Inflammatory bowel disease, such as Crohn's disease or ulcerative colitis
Injury caused by an operation
Peritoneal dialysis
Trauma
Tbc

Peritonitis

Peritonitis

Peritonitis

peritonitis

Peritonitis tbc

Peritonitis traumatic

pancreatitis

diagnosis
Peritonitis can be life threatening, so the
doctor will first do a physical examination to
see whether you need surgery to fix the
underlying problem. The doctor will feel and
press your abdomen to find any swelling and
tenderness as well as signs that fluid has
collected in the area. The doctor may also
listen to bowel sounds and check for difficulty
breathing, low blood pressure, and signs of
dehydration.

diagnosis
Blood tests -- to see if there is bacteria in your
blood
Samples of fluid from the abdomen -- identifies
the bacteria causing the infection
CT scan -- identifies fluid in the abdomen, or an
infected organ
X-rays -- detect air in the abdomen, which
indicates that an organ may be torn or perforated
USG.

Treatment
Peritonitis you have symptoms of peritonitis, you
should get immediate emergency medical help.
You will likely need to be hospitalized for
treatment. You may need surgery to get rid of the
source of infection, such as an inflamed
appendix, or to repair a tear in the walls of the
gastrointestinal or biliary tract. Antibiotics are
used to control infection. Complementary
therapies may be used along with conventional
medicine when recovering from peritonitis

Treatment
Antibiotics. You'll likely be given a course of antibiotic
medication to fight the infection and prevent it from
spreading. The type and duration of your antibiotic therapy
depend on the severity of your condition and the kind of
peritonitis you have.
Surgery. Surgical treatment is often necessary to remove
infected tissue, treat the underlying cause of the infection
and prevent the infection from spreading.
Other treatments. Depending on your signs and symptoms,
your treatment while in the hospital may include pain
medications, intravenous (IV) fluids, supplemental oxygen
and, in some cases, a blood transfusion.

Thanks U