Peritonitis

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 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
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 Symtom & Sign
• Abdominal pain or tenderness
• Bloating or a feeling of fullness (distention) in the
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 , vesica
vellea or perforated colon
• Pancreatitis.
• Diverticulitis
• Diverticulosis
 Risks factor
• Liver disease (cirrhosis)
• Fluid in the abdomen
• decrease 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