Localised peritonitis

Localised peritonitis (peritonitis circumscripta) is an inflammation of a certain part of the peritoneum. It occurs when local conditions prevent spreading to the surroundings (adhesions, anatomical structures).

Clinical picture

• The clinical picture may vary according to the extent of the affected part and the virulence of the agent;
• symptoms are the same as diffuse, only milder and localized to the affected area;
• the inflammation can be limited, turn into an abscess and perforate into the free abdominal cavity.

Therapy

• Conservative at first with bed rest, strict diet, cold compresses, constant monitoring;
• surgery is indicated in case of spread to the abdominal cavity or when an abscess is formed.

Special types of peritonitis

1. Primary inflammations:
   • they arise after a metastatic infection in the abdominal cavity;
   • pneumonia, HCD inflammation, tonsillitis.
2. Secondary inflammations ::
   • they arise as a result of penetration of an infection from another organ in the abdominal cavity;
   • tuberculosis, gonococci.

Today, the treatment of primary causes is so effective that these peritonitis are rather rare, but they should be thought of. The clinical picture does not differ from other peritonitis, the symptoms may be less expressed.

Links

Resources

• ZEMAN, Miroslav. Speciální chirurgie. 2. edition. Galén, 2006. 575 pp. ISBN 80-7262-260-9.