PeritonitisDefinition: Peritonitis is an inflammation (irritation) of the peritoneum, the membrane that lines the wall of the abdomen and covers the abdominal organs.
Alternative Names: Acute abdomen
Causes, incidence, and risk factors: Types of peritonitis include: Intra-abdominal abscess (abdominal abscess) involves a collection of pus in the abdomen, which may cause peritonitis. Before peritonitis develops, the abscess may still cause symptoms similar or identical to peritonitis.
Symptoms: Additional symptoms that may be associated with this disease include: - Cloudy dialysis fluid (if undergoing peritoneal dialysis)
- Nausea and vomiting
- Shaking chills
- Signs of shock
Signs and tests: Examination of the abdomen typically shows tenderness. The abdomen may feel firm and "board-like" and there may be extensive "guarding" (protective movements such as curling up or refusal to allow the abdomen to be touched). Blood tests and x-rays or CT scans may be ordered.
Treatment: The cause must be identified and treated promptly. Treatment typically involves surgery and antibiotics. In cases associated with peritoneal dialysis, antibiotics may be infused through the dialysis catheter, but if the infection is severe, the catheter itself must often be removed.
Expectations (prognosis): The outcome is often good with treatment, poor without treatment. Sometimes, however, the outcome is poor even with prompt and adequate treatment.
Complications: Peritonitis can be life-threatening and cause a number of different complications, depending on the type.
Calling your health care provider: Go to the emergency room or call the local emergency number (such as 911) if you have symptoms that may indicate peritonitis, as it is a medical emergency.
Prevention: Prevention depends on the cause. See the specific types of peritonitis.
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