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Home > West Medicine > Internal Medicine > Gastroenterology
K65.002

Acute Purulent Peritonitis

消化内科

Common symptoms

感染性发热、恶心与呕吐、口干、腹痛

The pathology of disease

Acute purulent peritonitis is bacterial infection of peritoneum with pus, due to perforation/appendicitis/diverticulitis/postoperative, presenting with severe pain, guarding, fever, and sepsis. Treatment: NPO; nasogastric decompression; IV fluids/electrolytes; broad-spectrum antibiotics (cover gram-negatives/anaerobes); urgent surgical exploration/lavage/drainage; source control (resection/repair); ICU monitoring; treat underlying cause; follow-up to detect abscess/adhesions.

Common Symptoms

Severe pain; guarding; fever; sepsis; purulent exudate

Causes and Pathogenesis

Bacterial contamination causes purulent peritoneal inflammation.

Treatment

NPO/IV fluids/antibiotics; urgent surgery/lavage/drainage; ICU

Preventive Measures

Early source control; careful surgery; antibiotic stewardship.

Department to Visit

It is recommended to visit the Gastrointestinal-surgery/Emergency/Critical-care department; an appointment can be booked on this platform before the visit.

Warm reminder: The above information is for health science reference only and cannot replace professional medical diagnosis. If you have related symptoms, please seek medical attention at a regular hospital promptly.