BACK
TO
TOP
 
E-mail Form
Email Results

 
 
Print-Friendly
Bookmarks
bookmarks-menu

Peritonitis - secondary

Secondary peritonitis

The peritoneum is the thin tissue that lines the inner wall of the abdomen and covers most of the organs in the abdomen. Peritonitis is present when this tissue becomes inflamed or infected. Secondary peritonitis is when another condition is the cause.

Causes

Secondary peritonitis has several major causes.

  • Bacteria may enter the peritoneum through a hole (perforation) in an organ of the digestive tract. The hole may be caused by a ruptured appendix, stomach ulcer, or perforated colon. It may also come from an injury, such as a gunshot or knife wound or following the ingestion of a sharp foreign body.
  • Bile or chemicals released by the pancreas may leak into the abdominal cavity. This may be caused by swelling and inflammation of the pancreas called pancreatitis.
  • Tubes or catheters placed into the abdomen may cause this problem. These include catheters for peritoneal dialysis, feeding tubes, and others.

An infection of the bloodstream (sepsis) may lead to an infection in the abdomen also. This is a severe illness.

This tissue may become infected when there is no clear cause.

Necrotizing enterocolitis occurs when the lining of the intestinal wall dies and can lead to peritonitis. This problem nearly always develops in an infant who is ill or born early.

Symptoms

Symptoms include:

Note: There may be signs of shock.

Exams and Tests

During a physical exam, the health care provider may notice abnormal vital signs with fever, rapid heart rate and breathing, low blood pressure, and a tender distended abdomen.

Tests may include:

Treatment

Often, surgery is needed to remove or treat sources of infection. These may be an infected bowel, an inflamed appendix, or an abscess or perforated diverticulum, usually due to diverticulitis.

General treatment includes:

  • Antibiotics
  • Fluids through a vein (IV)
  • Pain medicines
  • Tube through the nose into the stomach or intestine (nasogastric or NG tube)

Outlook (Prognosis)

The outcome can range from complete recovery to overwhelming infection and death. Factors that determine the outcome include:

  • How long the symptoms were present before treatment began
  • The person's general health

Possible Complications

Complications may include:

  • Abscess
  • Gangrene (dead) bowel requiring surgery
  • Intraperitoneal adhesions (a potential cause of future bowel blockage)
  • Septic shock

When to Contact a Medical Professional

Contact your provider if you have symptoms of peritonitis. This is a serious condition. It needs emergency treatment in most cases.

References

Mathews JB, Turaga K. Surgical peritonitis and other diseases of the peritoneum, mesentery, omentum, and diaphragm. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 39.

Privratsky AM, Barreto JC, Turnage RH, Mizell J, Badgwell B. Abdominal wall, umbilicus, peritoneum, mesenteries, omentum, and retroperitoneum. In: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery. 21st ed. St Louis, MO: Elsevier; 2022:chap 44.

Text only

  • Peritoneal sample

    Peritoneal sample - illustration

    The peritoneum is the membrane lining the abdominal cavity.

    Peritoneal sample

    illustration

    • Peritoneal sample

      Peritoneal sample - illustration

      The peritoneum is the membrane lining the abdominal cavity.

      Peritoneal sample

      illustration

     

    Review Date: 5/4/2022

    Reviewed By: Michael M. Phillips, MD, Emeritus Professor of Medicine, The George Washington University School of Medicine, Washington, DC. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

    The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed medical professional should be consulted for diagnosis and treatment of any and all medical conditions. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. No warranty of any kind, either expressed or implied, is made as to the accuracy, reliability, timeliness, or correctness of any translations made by a third-party service of the information provided herein into any other language. © 1997- A.D.A.M., a business unit of Ebix, Inc. Any duplication or distribution of the information contained herein is strictly prohibited.
    © 1997- adam.com All rights reserved.

     
     
     

     

     

    A.D.A.M. content is best viewed in IE9 or above, Firefox and Google Chrome browser.
    Content is best viewed in IE9 or above, Firefox and Google Chrome browser.