Definition and causes
Peritonitis is an inflammation of the membrane that surrounds most of the bodies in the belly. The condition is potentially fatal. Peritoneum is like a bag, which unfolds around the bodies. On the peritoneum, there are cells that produce a small amount of liquid. This will lubricate peritoneum, the bodies of the abdominal cavity can easily slide against one another. By peritonitis may amount of this fluid is increased very significantly.
Peritonitis occurs frequently due to inflammation somewhere in the gut like. appendicitis or cholecystitis. Peritonitis starts since mostly localized to the part that lies in the immediate vicinity of the body where there is inflammation, but can spread to the entire peritoneum during the hour. Peritonitis may also occur when there is a hole in one of the hollow organs in the abdominal cavity, for example. intestine (see also the small intestine and colon), stomach or bladder. When in
Symptoms of peritonitis
There will often have symptoms of inflammation in one of the agencies in the belly with pain in the abdomen and possibly. fever and malaise. When the peritoneum becomes inflamed seen the following:
- Torrential abdominal painThese occur suddenly, if peritonitis due to the fact that there has been penetrated at one of the hollow organs.
- Release tendernessThis means that if you press down on the place where it makes most evil, and then suddenly release, which triggers pain, which often is worse than when you press down.
- Board Hard stomach:This is a very serious symptom, which occurs when peritonitis is widespread.
- Blood Pressure Drop andshock:This is seen by the serious cases that have arisen suddenly.
Precautions and diagnosis
If you have had genes from the stomach and suddenly experiencing these symptoms should seek immediate medical attention. The doctor will examine the abdomen by pressing it, knock it on and listen with the stethoscope. There is also blood tests, particularly to see if there are bacteria in the blood, or on an enzyme, calledamylase, Is elevated. This will be signs of pancreatitis. Hosp. take an X-ray of the abdomen, while you stand up, and while lying down, like on the left side. There may also be made an ultrasound and / or a CT scan of the abdomen.
Treatment of peritonitis
The treatment of peritonitis is an acute operation, which cleans the abdominal cavity by rinsing with saline (calledperitonealemptying). If the cause of peritonitis is that there has been penetrated at one of the hollow bodies, we must try to close the gap, so there can be no further damage. While the operation is given a high dose of an antibiotic drip. This will continue for a few days after surgery. If there is developed shock, it must also be plenty of liquid in a drip to keep blood pressure up.
Select and complications
Any delay in treatment of peritonitis increases the risk that bacteria can spread to the bloodstream, providing blood poisoning) and possibly. resulting shock). These are two very serious, life-threatening conditions.
There is a risk that can form an abscess (abscess) Somewhere in the belly. This will prove to know that no improvement is as it should after operation. There will be intermittent fever, high numbers of white blood cells in blood samples and continued pain in the abdomen. Treatment of an abscess in the abdominal cavity is to drain it, puncture it with a needle and sucks pusset out. This is done through the skin, if possible, to avoid another open surgery. It controls the needle while making an ultrasound or CT scan, so you can see how Monday