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Home > West Medicine > Internal Medicine > Gastroenterology
K65.017

Secondary Peritonitis

消化内科

Common symptoms

肠鸣、发炎、肠穿孔、涂友宝、发绀、恶心、肠麻痹、肠套叠、代谢性酸中毒、蜂窝组织炎、肠胀气

The pathology of disease

Secondary peritonitis is peritoneal inflammation from an intra-abdominal source (appendicitis/diverticulitis/perforation/pancreatitis/postoperative), vs primary (spontaneous bacterial peritonitis in ascites). Treatment: NPO; nasogastric decompression; IV fluids/electrolytes; broad-spectrum antibiotics; urgent surgical exploration/source control (resection/repair/lavage); drainage of abscess; ICU monitoring; treat underlying cause; follow-up to detect abscess/adhesions.

Common Symptoms

Abdominal pain; guarding; fever; sepsis; identifiable source

Causes and Pathogenesis

Intra-abdominal source (perforation/infection) contaminates peritoneum.

Treatment

NPO/IV fluids/antibiotics; urgent surgery/source control; drainage; ICU

Preventive Measures

Early treatment of appendicitis/diverticulitis/perforation; careful surgery.

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.