Peritonitis

Question 1

Inflammation of the peritoneum, the serous membrane lining, the abdominal cavity, and covering of the viscera

Answer 1

Peritonitis

Question 2

Types of Peritonitis

Answer 2

Primary
Secondary

Question 3

Types of Peritonitis

Acute bacterial infection resulting from contamination of the peritoneum through the vascular system

It may occur from tuberculosis, cirrhosis, and ascites

Answer 3

Primary Peritonitis

Question 4

Types of Peritonitis

Bacterial invasion resulting from acute bacterial abdominal disorder

It may occur from gangrenous bowel, visceral perforation, bile leakage, blunt or penetrating trauma (gunshot wound)

Answer 4

Secondary Peritonitis

Question 5

Abdominal pain diffuse and become localized near the site of inflammation.

Distended abdomen

Nausea, anorexia and vomiting

Diminishing bowel sounds

Inability to pass flatus or feces

Rebound tenderness in the abdomen

High fever

Dehydration
Oliguria
Hiccups

Classical sign: Rigid, board like abdomen

Answer 5

Peritonitis

Question 6

Surgical Management: Peritonitis

Answer 6

Abdominal surgery guided by exploratory laparotomy

Appendectomy if there is appendicitis

Colon resection with or without colostomy if there is bowel perforation