Peritonitis is an inflammation of the peritoneum covering from within an abdominal cavity with the organs located in its limits. Inopportune treatment of the disease often causes a lethal outcome.
Inflammatory process in a peritoneum arises at a bacterial infection or under the influence of noninfectious irritants – blood, bile, gastric juice, urine. Usually peritonitis develops at destruction of abdominal organs (acute pancreatitis, intestinal obstruction, appendicitis). Fecal masses and pus get to abdominal cavity from damaged organs.
More infrequent cause of peritonitis is penetrating wound of stomach with infection entering from outside. Sometimes peritonitis arises because of diffusion of infection with blood.
The clinical picture of peritonitis develops acutely and quickly. Sharp abdominal pain, expressed nausea, sometimes vomiting, fast temperature rise, and loss of weight are the symptoms of peritonitis. Stomach is painful and hard. Arterial pressure may drop. Leucocytes content in blood is considerably increased. In case of hollow abdominal organ rupture gas accumulates under the diaphragm.
Pain at peritonitis cannot be removed with spasmolytic. At the slightest symptoms of the disease it is necessary immediately apply to the doctor. Opportune treatment of peritonitis has a crucial role in rescue of patient’s life. Peritonitis differs in severity and fast development.
Treatment needs to be carried out within the first 12 hours from the beginning of the disease. In most cases the urgent surgical intervention is necessary. Almost always antibiotics prescribed. After operation the patient is treated at the intensive care unit.