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peritonitis

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Inflammation of the sac that lines the abdominal cavity (peritoneum)

Alternative Names
inflammation of the peritoneum

Definition
Peritonitis is inflammation of the peritoneum, the thin membrane that lines the inside of the abdominal cavity.

What is going on in the body?
The peritoneum can become inflamed for various reasons. Infections of various types cause most cases of peritonitis. Peritonitis is quite painful, and often indicates the presence of a serious disease.

What are the signs and symptoms of the condition?
Symptoms of peritonitis can vary depending on the underlying cause of the condition. Most of the time symptoms include: What are the causes and risks of the condition?
Most often, peritonitis is caused by an infection inside the abdomen. For example, appendicitis or other bowel infections can cause the problem. Other types of inflammation can also cause peritonitis without the presence of an infection. One of these is inflammation of pancreas, known as pancreatitis. Inflammation due to chemical irritants is another cause. Peritonitis can also be caused by irritation of the peritoneum from bleeding in the abdominal cavity, such as a ruptured ovarian cyst.

What can be done to prevent the condition?
Nothing can be done to prevent this condition.

How is the condition diagnosed?
The doctor will take a person's medical history and perform a physical examination. Sometimes further tests are needed to determine the underlying cause. These may include blood tests, x-rays and surgery for an abdominal exploration.

What are the long-term effects of the condition?
The long term effects of the disease depend on the underlying cause. For example, peritonitis that stems from a ruptured ovarian cyst will not have any long-term effects. If the condition is the result of infection, it may cause death.

What are the risks to others?
There are generally no risks to others.

What are the treatments for the condition?
Treatment will depend on the cause of the condition. In mild cases, a person may need only rest and intravenous fluids. In severe cases, medications and urgent surgery may be needed to prevent death.

What are the side effects of the treatments?
Medications can cause side effects such as allergic reactions, stomach upset, and other symptoms. Specific side effects depend on the medication used. Surgery carries the risks of bleeding, infection, and death.

What happens after treatment for the condition?
No further treatment will be needed if the cause is corrected. For example, peritonitis brought on by an infected appendix will usually be cured by an appendicectomy, or surgical removal of the appendix.

How is the condition monitored?
The cause of the condition will determine how it is tracked. Methods include:
  • blood tests, such as a full blood count or FBC
  • physical examinations
  • tracking of symptoms
  • x-rays, including abdominal x-rays
Author: Adam Brochert, MD
Reviewer: HealthAnswers Australia Medical Review Panel
Editor: Dr David Taylor, Chief Medical Officer HealthAnswers Australia
Last Updated: 1/10/2001
Contributors
Potential conflict of interest information for reviewers available on request


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