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Home > West Medicine > Surgery > General Surgery
K65.003

Acute Diffuse Peritonitis

普外科

Common symptoms

肠穿孔、板状腹、腹膜刺激征、腹痛、肠套叠、代谢性酸中毒、腹膜炎

The pathology of disease

Acute diffuse peritonitis is widespread inflammation of peritoneum (vs localized), due to perforation/pancreatitis/ischemia/postoperative, presenting with generalized severe pain, rigidity, fever, and septic shock. Treatment: NPO; nasogastric decompression; IV fluids/vasopressors; broad-spectrum antibiotics; urgent surgical exploration/lavage/source control; ICU; treat underlying cause (perforation/ischemia); monitor for multi-organ failure; follow-up.

Common Symptoms

Generalized severe pain; rigidity; fever; septic shock

Causes and Pathogenesis

Widespread peritoneal contamination causes diffuse inflammation.

Treatment

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

Preventive Measures

Early source control; careful surgery; prompt treatment of perforation.

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.