Surgery Definition – What is peritonitis?
Surgery Definition – What is peritonitis?
Peritonitis is an inflammation of the peritoneum. Peritonitis is divided into primary peritonitis and secondary peritonitis. Primary peritonitis is due to the seeding of the hematogenous ion spread of the bacterial such as in the case of spontaneous bacterial peritonitis due to infection of the ascetic fluid. Secondary peritonitis is due to perforated viscus such as the case of bursting of the appendix or perforated peptic ulcer. Chemical peritonitis occurs due to the ruptured of the gallbladder or biliary tree post exploration which lead to the leakage of the bile. Chemical peritonitis may evolve from sterile into super infectious.
Patient with peritonitis may complain of malaise, nausea, fever, vomiting, generalized abdominal pain and unable to move as any movement may precipitate pain. On examination patient with peritonitis may appear ill looking, sweating (diaphoresis), febrile, lying still, tachycardia, with no movement of the abdomen with respiration. There will be tenderness on palpation. Board like rigidity is detected along with guarding and rebound tenderness ( in percussion). On auscultation of the bowel there will be absent of bowel sound.
The management of peritonitis may focus on the initial steps of resuscitation and treatment of any underlying disorder.
Peritonitis is an inflammation of the peritoneum. Peritonitis is divided into primary peritonitis and secondary peritonitis. Primary peritonitis is due to the seeding of the hematogenous ion spread of the bacterial such as in the case of spontaneous bacterial peritonitis due to infection of the ascetic fluid. Secondary peritonitis is due to perforated viscus such as the case of bursting of the appendix or perforated peptic ulcer. Chemical peritonitis occurs due to the ruptured of the gallbladder or biliary tree post exploration which lead to the leakage of the bile. Chemical peritonitis may evolve from sterile into super infectious.
Patient with peritonitis may complain of malaise, nausea, fever, vomiting, generalized abdominal pain and unable to move as any movement may precipitate pain. On examination patient with peritonitis may appear ill looking, sweating (diaphoresis), febrile, lying still, tachycardia, with no movement of the abdomen with respiration. There will be tenderness on palpation. Board like rigidity is detected along with guarding and rebound tenderness ( in percussion). On auscultation of the bowel there will be absent of bowel sound.
The management of peritonitis may focus on the initial steps of resuscitation and treatment of any underlying disorder.
