Secondary peritonitis causes: Difference between revisions
No edit summary |
|||
| Line 8: | Line 8: | ||
==Causes== | ==Causes== | ||
===Life-Threatening Causes=== | ===Life-Threatening Causes=== | ||
* Solid organ rupture | |||
* Perforated peptic ulcer | |||
* Tubo-Ovarian abscess | |||
* Small Bowel perforation. | |||
===Common causes=== | ===Common causes=== | ||
Common causes of secondary peritonitis include:<ref name="pmid2293571">{{cite journal| author=Akriviadis EA, Runyon BA| title=Utility of an algorithm in differentiating spontaneous from secondary bacterial peritonitis. | journal=Gastroenterology | year= 1990 | volume= 98 | issue= 1 | pages= 127-33 | pmid=2293571 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2293571 }} </ref><ref name="pmid15846719">{{cite journal| author=Wong PF, Gilliam AD, Kumar S, Shenfine J, O'Dair GN, Leaper DJ| title=Antibiotic regimens for secondary peritonitis of gastrointestinal origin in adults. | journal=Cochrane Database Syst Rev | year= 2005 | volume= | issue= 2 | pages= CD004539 | pmid=15846719 | doi=10.1002/14651858.CD004539.pub2 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15846719 }} </ref> | Common causes of secondary peritonitis include:<ref name="pmid2293571">{{cite journal| author=Akriviadis EA, Runyon BA| title=Utility of an algorithm in differentiating spontaneous from secondary bacterial peritonitis. | journal=Gastroenterology | year= 1990 | volume= 98 | issue= 1 | pages= 127-33 | pmid=2293571 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=2293571 }} </ref><ref name="pmid15846719">{{cite journal| author=Wong PF, Gilliam AD, Kumar S, Shenfine J, O'Dair GN, Leaper DJ| title=Antibiotic regimens for secondary peritonitis of gastrointestinal origin in adults. | journal=Cochrane Database Syst Rev | year= 2005 | volume= | issue= 2 | pages= CD004539 | pmid=15846719 | doi=10.1002/14651858.CD004539.pub2 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15846719 }} </ref> | ||
Revision as of 03:33, 13 February 2017
|
Secondary Peritonitis Microchapters |
|
Diagnosis |
|
Treatment |
|
Secondary peritonitis causes On the Web |
|
American Roentgen Ray Society Images of Secondary peritonitis causes |
|
Directions to Hospitals Treating Spontaneous bacterial peritonitis |
|
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. It most often results from entry of enteric bacteria into the peritoneal cavity through a necrotic defect in th wall of the intestines or other viscus as a result of obstruction, infarction or after rupture of an intra-abdominal visceral abscess. It most often occurs after perforation of appendix. 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
- Solid organ rupture
- Perforated peptic ulcer
- Tubo-Ovarian abscess
- Small Bowel perforation.
Common causes
Common causes of secondary peritonitis include:[1][2]
- Perforated PUD
- Appendicitis
- Diverticulitis
- Acute cholecystitis
- Pancreatitis
- Post-surgical complications
Causes by Source
| Infected Secondary Peritonitis | Non-infected Secondary Peritonitis | |||
|---|---|---|---|---|
| Perforation of a hollow viscus organ | Disruption of the peritoneum | Leakage of sterile body fluids into the peritoneum | Sterile abdominal surgery | Rarer non-infectious causes |
Perforation of a hollow viscus (most common cause of peritonitis)
Other possible causes for perforation
Most common organisms: mixed bacteria |
Most common organisms |
Sterile body fluids such as
These body fluids are sterile at first, they frequently become infected once they leak out of their organ, leading to infectious peritonitis within 24-48h. |
Due to sterile foreign body inadvertently left in the abdomen after surgery (e.g. gauze, sponge) |
|
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 | |
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.