Secondary peritonitis causes: Difference between revisions
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* Escherichia coli | * Escherichia coli | ||
* Klebsielia pneumoniae | * Klebsielia pneumoniae | ||
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===Causes of Infected Secondary Peritonitis=== | |||
{| class="wikitable" | |||
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! style="width: 50%;" | Perforation of a hollow viscus organ | |||
! style="width: 50%;" |Disruption of the peritoneum | |||
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| valign = top | '''''Perforation of a hollow viscus''''' (most common cause of peritonitis) | |||
*Perforation of the [[Esophagus|distal esophagus]] ([[Boerhaave syndrome]])<br /> | |||
*Perforation of the [[stomach]] ([[peptic ulcer]], [[Gastric carcinoma]])<br /> | |||
*Perforation of the [[duodenum]] ([[peptic ulcer]])<br /> | |||
*Perforations of the remaining [[intestine]] (e.g. [[Appendicitis]], [[Diverticulitis]], [[Meckel diverticulum]], [[IBD]], [[Intestinal infarction]], [[Intestinal strangulation]], [[Colorectal carcinoma]], [[Meconium peritonitis]])<br /> | |||
*Perforation of the [[gallbladder]] ([[cholecystitis]])<br /> | |||
'''Other possible causes for perforation''' | |||
*[[Trauma]] <br /> | |||
*Ingestion of a sharp [[foreign body]] (such as a fish bone) <br /> | |||
*Perforation by an [[endoscope]] or [[catheter]] | |||
''' Most common organisms''' | |||
-mixed [[bacteria]] | |||
*[[Gram-negative bacilli]] (e.g. [[Escherichia coli]]), [[Anaerobic bacteria]] (e.g. [[Bacteroides fragilis]]) | |||
| valign = top | | |||
*[[Trauma]]<br /> | |||
*[[Surgical wound]]<br /> | |||
*[[Peritoneal dialysis]]<br /> | |||
*[[Chemotherapy]]<br /> | |||
''' Most common organisms''' | |||
*Mixed [[bacteria]] <br /> | |||
*[[Staphylococcus aureus]] <br /> | |||
*[[Coagulase-negative staphylococci]] <br /> | |||
*[[Fungi]] such as [[Candida]] | |||
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==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 23:34, 4 February 2017
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Secondary Peritonitis Microchapters |
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Secondary peritonitis causes On the Web |
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American Roentgen Ray Society Images of Secondary peritonitis causes |
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Directions to Hospitals Treating Spontaneous bacterial peritonitis |
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Risk calculators and risk factors for Secondary peritonitis causes |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Shivani Chaparala M.B.B.S [2]
Overview
Secondary peritonitis has numerous causes. Nonbacterial causes of peritonitis include leakage of blood into the peritoneal cavity due to rupture of a tubal pregnancy, ovarian cyst, or aneurysmal vessel.
Causes
Life-Threatening Causes
Common causes
Common causes of secondary peritonitis include:[1][2]
- Perforated PUD
- Appendicitis
- Diverticulitis
- Acute cholecystitis
- Pancreatitis
- Post-surgical complications
Causes by Organ System
| Cause of Peforation | Most likely organism |
|---|---|
| Nonperforation secondary peritonitis | |
| Acute appendicitis |
|
| Loculated perforation of
gastric ulcer |
|
| Post operative
gastric ulcer perforation |
|
| Loculated perforation of
umbilical hernia |
|
| Colonic ulcer |
|
| Loculated perforation of
colonic polypectomy |
|
| Colonic ulcer |
|
| Infected
pancreaticpseudocyst |
|
| Postoperative
in general |
|
| Perforation secondary peritonitis | |
| Perforated gastric ulcer |
|
| Perforated duodenal ulcer |
|
| Perforated bowel |
|
| Perforated gallbladder |
|
Causes of Infected Secondary Peritonitis
| Perforation of a hollow viscus organ | Disruption of the peritoneum |
|---|---|
Perforation of a hollow viscus (most common cause of peritonitis)
Other possible causes for perforation
Most common organisms -mixed bacteria |
Most common organisms |
References
- ↑ Akriviadis EA, Runyon BA (1990). "Utility of an algorithm in differentiating spontaneous from secondary bacterial peritonitis". Gastroenterology. 98 (1): 127–33. PMID 2293571.
- ↑ Wong PF, Gilliam AD, Kumar S, Shenfine J, O'Dair GN, Leaper DJ (2005). "Antibiotic regimens for secondary peritonitis of gastrointestinal origin in adults". Cochrane Database Syst Rev (2): CD004539. doi:10.1002/14651858.CD004539.pub2. PMID 15846719.