Intra-abdominal infections result in 2 major clinical manifestations
Early or diffuse infection results in localized or generalized peritonitis.
Late and localized infections produces an intra-abdominal abscess.
2 Major Types
Primary: Caused by the spread of an infection from the blood & lymph nodes to the peritoneum. Very rare < 1%
Usually occurs in people who have an accumulation of fluid in their abdomens (ascites).
The fluid that accumulates creates a good environment for the growth of bacteria.
Secondary: Caused by the entry of bacteria or enzymes into the peritoneum from the gastrointestinal or biliary tract.
Secondary: Caused by the entry of bacteria or enzymes into the peritoneum from the gastrointestinal or biliary tract.
This can be caused due to an ulcer eating its way through stomach wall or intestine when there is a rupture of the appendix or a ruptured diverticulum.
Also, it can occur due to an intestine to burst or injury to an internal organ which bleeds into the internal cavity.
Both cases are very serious & can be life threatening if not treated properly!!!
Hollow organs are more susceptible to athletic injury when they are full of waste & food products.
Hollow organs are more susceptible to athletic injury when they are full of waste & food products.
Injury to a hollow organ may so signs of:
> black tarry stool
>bright red blood in the fecal discharge
>bloody vomitus
* Always remember there may be referred pain.
Signs & Symptoms
Swelling & tenderness in the abdomen
Fever & Chills
Loss of Appetite
Nausea & Vomiting
Symptoms Con’t:
An acutely ill patient tends to lie “very” still because any movement causes excruciating pain.
They will lie with there knees bent to decrease strain on the tender peritoneum.
Exam & Evaluation
Feel & press the abdomen to detect any swelling & tenderness in the area as well as signs of fluid has collected in the area.
Listen to the bowel sounds & check for difficulty breathing, low blood pressure & signs of dehydration.
Evaluation con’t:
The usual sounds made by the active intestine and heard during examination with a stethoscope will be absent, because the intestine usually stops functioning.
The abdom may be rigid and boardlike
Accumulations of fluid will be notable in primary due to ascites.
Exams con’t:
Blood Test
Samples of fluid from the abdomen
CT Scan
Chest X-rays
Peritoneal lavage.
Treatment Approach
Hospitalization is common.
Surgery is often necessary to remove the source of infection.
Antibiotics are prescribed to control the infection & intravenous therapy (IV) is used to restore hydration.
TX Con’t:
Morphine for pain.
Dietary supplements (omega 3, omega 6 fatty acids, vitamin A, E, C, and zinc)
Prognosis
Untreated peritonitis is poor, usually resulting in death.
With Tx, prognosis is variable, dependent on the underlying causes.
Preventive Care
There is “NO WAY” to prevent peritonitis, since the diseases it accompanies are usually not under the voluntary control of an individual.
However, the best way to prevent serious complications is to seek medical attention as soon as symptoms appear.
References:
“Evaluation and Management of Secondary Peritonitis.” American Family Physician 54 (October 1996): 1724+.
“Subacute Bacterial Peritonitis: Diagnosis and Treatment.” American Family Physician 52 (August 1995): 645.
Isselbacher, Kurt J., and Alan Epstein. “Diverticular, Vascular, and Other Disorders of the Intestinal and Peritoneum.” In Harrison’s Principles of Internal Medicine, ed. Anthony S. Fauci, et al. New York: McGraw-Hill, 1997.
References con’t:
Platell C., Papadimitiriou J M., Hall J.C. The Influence of Lavage Fluid on Peritonitis. Journal of American College Surg 2000; 191: 672-680.