peritonitis

Inflammation of peritoneum (a silk-like membrane lining the inner abdominal wall and covering abdominal organs). It is usually due to a bacterial or fungal infection.
Without treatment, death may occur within a few days.

Types:
- Spontaneous bacterial peritonitis: Develops as a complication of liver disease (e.g. cirrhosis) or of kidney disease.
- Secondary peritonitis: Results from rupture or perforation in abdomen, or as a complication of other medical conditions (e.g. appendicitis, diverticulitis).
- Tuberculosis peritonitis: Caused by Mycobacterium tuberculosis (TB).
- Chemical peritonitis (sterile peritonitis): Caused by leakage of sterile fluids that are irritants to the peritoneum (e.g. bile, blood, or barium as a contrast agent).
- Peritoneal abscess: Caused by an infected fluid collection.

Symptoms:
- severe pain of abdomen
- swelling of abdomen
- tenderness of abdomen
- weight loss
- fever

Causes
- perforation of the intestinal tract
- stomach ulcer, pancreatitis, (ruptured) appendicitis, pelvic inflammatory disease
- cirrhosis

Complications:
- shock
- acute respiratory distress syndrome

Risk factors include ascites and peritoneal dialysis.

Diagnosis:
- examination
- blood tests
- imaging

Treatment:
- antibiotics: Beta-lactams (penicillins), carbapenems (beta-lactamase-resistant beta-lactams), cephalosporins (semi-synthetic beta-lactams), and quinolones (ciprofloxacin).
- intravenous fluids
- pain medication
- surgery
(The following procedures may be also needed.)
- nasogastric tube
- blood transfusion

[Luna]

🆘Tengo una emergiencia!! Un familiar le hicieron hace 2 años una cirugía de peritonitis le tuvieron que hacer un lavado y supuestamente le tenían que poner una malla protectora y nose la pusieron entonces se le salieron un poco los intestinos, y ahora se tiene que hacer una cirugía para que pongan todo en su sitio y este normal pero el doctor le dice que es muy riesgoso, que podemos hacer???…… porfavor denme una solución yo se que si conocimiento será bendecido por el creador!!