Peritonitis - Revision history

Ostermayer: Prepared the page for translation

2026-01-04T23:52:15Z

Prepared the page for translation

← Older revision		Revision as of 23:52, 4 January 2026
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			<languages/>
			<translate>

	==Background==		==Background==

	[[File:Scheme body cavities-en.png\|thumb\|Lateral view showing abdominopelvic cavity.]]		[[File:Scheme body cavities-en.png\|thumb\|Lateral view showing abdominopelvic cavity.]]
	*Inflammation of serosal membrane lining abdominal cavity and intraabdominal organ		*Inflammation of serosal membrane lining abdominal cavity and intraabdominal organ
	*May be infectious (bacterial, viral, fungal) or sterile (mechanical, chemical)		*May be infectious (bacterial, viral, fungal) or sterile (mechanical, chemical)
	*Etiology		*Etiology
	**Primary: Hematogenous, [[spontaneous bacterial peritonitis]] (SBP)		**Primary: Hematogenous, [[Special:MyLanguage/spontaneous bacterial peritonitis\|spontaneous bacterial peritonitis]] (SBP)
	**Secondary: Perforation or [[abdominal trauma\|trauma]], most common		**Secondary: Perforation or [[Special:MyLanguage/abdominal trauma\|trauma]], most common
	**Tertiary: Persistent/recurrent infection, [[peritoneal dialysis-associated peritonitis]]		**Tertiary: Persistent/recurrent infection, [[Special:MyLanguage/peritoneal dialysis-associated peritonitis\|peritoneal dialysis-associated peritonitis]]


	==Clinical Features==		==Clinical Features==
	*[[Abdominal pain]] or discomfort
			*[[Special:MyLanguage/Abdominal pain\|Abdominal pain]] or discomfort
	*Abdominal distention, tenderness		*Abdominal distention, tenderness
	*Rebound, guarding, or rigidity on exam		*Rebound, guarding, or rigidity on exam
	*Anorexia and [[nausea]]		*Anorexia and [[Special:MyLanguage/nausea\|nausea]]
	*Guarding or rebound		*Guarding or rebound
	*[[Sepsis]]		*[[Special:MyLanguage/Sepsis\|Sepsis]]
	*Signs of [[liver failure]]		*Signs of [[Special:MyLanguage/liver failure\|liver failure]]
	*[[Spontaneous bacterial peritonitis]]		*[[Special:MyLanguage/Spontaneous bacterial peritonitis\|Spontaneous bacterial peritonitis]]
	**[[Fever]] and chills		**[[Special:MyLanguage/Fever\|Fever]] and chills
	**[[Abdominal pain]] or discomfort		**[[Special:MyLanguage/Abdominal pain\|Abdominal pain]] or discomfort
	**Worsening or unexplained [[hepatic encephalopathy\|encephalopathy]]		**Worsening or unexplained [[Special:MyLanguage/hepatic encephalopathy\|encephalopathy]]
	**[[Diarrhea]]		**[[Special:MyLanguage/Diarrhea\|Diarrhea]]
	**[[Ascites]]		**[[Special:MyLanguage/Ascites\|Ascites]]
	**Worsening or new-onset [[renal failure]]		**Worsening or new-onset [[Special:MyLanguage/renal failure\|renal failure]]
	**[[Ileus]]		**[[Special:MyLanguage/Ileus\|Ileus]]


	==Differential Diagnosis==		==Differential Diagnosis==

			</translate>
	{{Abdominal Pain DDX Diffuse}}		{{Abdominal Pain DDX Diffuse}}
			<translate>


	==Evaluation==		==Evaluation==


	===Work-up===		===Work-up===

	*Imaging = CT Abd/pelvis (preferred) or 3-view abdomen XR		*Imaging = CT Abd/pelvis (preferred) or 3-view abdomen XR
	**[[ultrasound: Abdomen\|Ultrasound]] may reveal certain etiologies		**[[ultrasound: Abdomen\|Ultrasound]] may reveal certain etiologies
	*Other work-up based on clinical suspicion, and may include:		*Other work-up based on clinical suspicion, and may include:
	**CBC, metabolic panel, coags, lipase, [[UA]], stool studies		**CBC, metabolic panel, coags, lipase, [[Special:MyLanguage/UA\|UA]], stool studies
	**Diagnostic [[Paracentesis\|paracentesis]] to evaluate for SBP (PMN ≥ 250 cells/mm³)		**Diagnostic [[Special:MyLanguage/Paracentesis\|paracentesis]] to evaluate for SBP (PMN ≥ 250 cells/mm³)


	===Evaluation===		===Evaluation===

	*Generally a clinical diagnosis		*Generally a clinical diagnosis


	==Management==		==Management==
	*[[Fluid resuscitation]]
			*[[Special:MyLanguage/Fluid resuscitation\|Fluid resuscitation]]
	*Surgical consult		*Surgical consult
	*IR consult if requiring [[abscess]] drainage		*IR consult if requiring [[Special:MyLanguage/abscess\|abscess]] drainage


			===[[Special:MyLanguage/Antibiotics\|Antibiotics]]===

	~~===[[Antibiotics]]===~~		</translate>
	{{Peritonitis Antibiotics}}		{{Peritonitis Antibiotics}}
			<translate>


	==Disposition==		==Disposition==

	*Admit		*Admit


	==See Also==		==See Also==
	*[[Abdominal pain]]
			*[[Special:MyLanguage/Abdominal pain\|Abdominal pain]]


	==External Links==		==External Links==


	==References==		==References==

	<references/>		<references/>

	[[Category:GI]]		[[Category:GI]]
	[[Category:Surgery]]		[[Category:Surgery]]
			</translate>

Rossdonaldson1: /* Background */

2025-04-16T21:19:52Z

Background

← Older revision		Revision as of 21:19, 16 April 2025
Line 1:		Line 1:
	==Background==		==Background==
			[[File:Scheme body cavities-en.png\|thumb\|Lateral view showing abdominopelvic cavity.]]
	*Inflammation of serosal membrane lining abdominal cavity and intraabdominal organ		*Inflammation of serosal membrane lining abdominal cavity and intraabdominal organ
	*May be infectious (bacterial, viral, fungal) or sterile (mechanical, chemical)		*May be infectious (bacterial, viral, fungal) or sterile (mechanical, chemical)

ClaireLewis at 23:31, 29 September 2019

2019-09-29T23:31:04Z

← Older revision		Revision as of 23:31, 29 September 2019
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	*Etiology		*Etiology
	**Primary: Hematogenous, [[spontaneous bacterial peritonitis]] (SBP)		**Primary: Hematogenous, [[spontaneous bacterial peritonitis]] (SBP)
	**Secondary: Perforation or trauma, most common		**Secondary: Perforation or [[abdominal trauma\|trauma]], most common
	**Tertiary: Persistent/recurrent infection		**Tertiary: Persistent/recurrent infection, [[peritoneal dialysis-associated peritonitis]]

	==Clinical Features==		==Clinical Features==
Line 18:		Line 18:
	**[[Fever]] and chills		**[[Fever]] and chills
	**[[Abdominal pain]] or discomfort		**[[Abdominal pain]] or discomfort
	**Worsening or unexplained encephalopathy		**Worsening or unexplained [[hepatic encephalopathy\|encephalopathy]]
	**[[Diarrhea]]		**[[Diarrhea]]
	**[[Ascites]]		**[[Ascites]]
	**Worsening or new-onset renal failure		**Worsening or new-onset [[renal failure]]
	**Ileus		**[[Ileus]]

	==Differential Diagnosis==		==Differential Diagnosis==
Line 30:		Line 30:
	===Work-up===		===Work-up===
	*Imaging = CT Abd/pelvis (preferred) or 3-view abdomen XR		*Imaging = CT Abd/pelvis (preferred) or 3-view abdomen XR
	**Ultrasound may reveal certain etiologies		**[[ultrasound: Abdomen\|Ultrasound]] may reveal certain etiologies
	*Other work-up based on clinical suspicion, and may include:		*Other work-up based on clinical suspicion, and may include:
	**CBC, metabolic panel, coags, lipase, UA, stool studies		**CBC, metabolic panel, coags, lipase, [[UA]], stool studies
	**Diagnostic [[Paracentesis\|paracentesis]] to evaluate for SBP (PMN ≥ 250 cells/mm³)		**Diagnostic [[Paracentesis\|paracentesis]] to evaluate for SBP (PMN ≥ 250 cells/mm³)

Line 39:		Line 39:

	==Management==		==Management==
	*Fluid resuscitation		*[[Fluid resuscitation]]
	*Surgical consult		*Surgical consult
	*IR consult if requiring [[abscess]] drainage		*IR consult if requiring [[abscess]] drainage
Line 58:		Line 58:

	[[Category:GI]]		[[Category:GI]]
			[[Category:Surgery]]

Ostermayer: Text replacement - "abscess " to "abscess "

2017-03-10T10:48:22Z

Text replacement - "abscess " to "abscess "

← Older revision		Revision as of 10:48, 10 March 2017
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	*Fluid resuscitation		*Fluid resuscitation
	*Surgical consult		*Surgical consult
	*IR consult if requiring abscess drainage		*IR consult if requiring [[abscess]] drainage

	===[[Antibiotics]]===		===[[Antibiotics]]===

Neil.m.young: Text replacement - "==Diagnosis==" to "==Evaluation=="

2016-07-24T22:47:17Z

Text replacement - "==Diagnosis==" to "==Evaluation=="

← Older revision		Revision as of 22:47, 24 July 2016
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	{{Abdominal Pain DDX Diffuse}}		{{Abdominal Pain DDX Diffuse}}

	==~~Diagnosis~~==		==Evaluation==
	===Work-up===		===Work-up===
	*Imaging = CT Abd/pelvis (preferred) or 3-view abdomen XR		*Imaging = CT Abd/pelvis (preferred) or 3-view abdomen XR

Mholtz at 23:44, 11 March 2016

2016-03-11T23:44:49Z

← Older revision		Revision as of 23:44, 11 March 2016
Line 1:		Line 1:
	==Background==		==Background==
	* Inflammation of serosal membrane lining abdominal cavity and intraabdominal organ		*Inflammation of serosal membrane lining abdominal cavity and intraabdominal organ
	* ~~Infectious~~ or sterile (mechanical, chemical)		*May be infectious (bacterial, viral, fungal) or sterile (mechanical, chemical)
	* Primary: Hematogenous, [[spontaneous bacterial peritonitis]] (SBP)		*Etiology
	* Secondary: Perforation or trauma, most common		**Primary: Hematogenous, [[spontaneous bacterial peritonitis]] (SBP)
	* Tertiary: Persistent/recurrent infection		**Secondary: Perforation or trauma, most common
			**Tertiary: Persistent/recurrent infection

	==Clinical Features==		==Clinical Features==
	* [[Abdominal pain]] or discomfort		*[[Abdominal pain]] or discomfort
	* Abdominal distention, ~~wall~~ tenderness, rigidity		*Abdominal distention, tenderness
	* Anorexia and [[nausea]]		*Rebound, guarding, or rigidity on exam
	* Guarding or rebound		*Anorexia and [[nausea]]
	* [[Sepsis]]		*Guarding or rebound
	* Signs of [[liver failure]]		*[[Sepsis]]
	* [[Spontaneous bacterial peritonitis]]		*Signs of [[liver failure]]
	** [[Fever]] and chills		*[[Spontaneous bacterial peritonitis]]
	** [[Abdominal pain]] or discomfort		**[[Fever]] and chills
	** Worsening or unexplained encephalopathy		**[[Abdominal pain]] or discomfort
	** [[Diarrhea]]		**Worsening or unexplained encephalopathy
	** [[Ascites]]		**[[Diarrhea]]
	** Worsening or new-onset renal failure		**[[Ascites]]
	** Ileus		**Worsening or new-onset renal failure
			**Ileus

	==Differential Diagnosis==		==Differential Diagnosis==
Line 26:		Line 28:

	==Diagnosis==		==Diagnosis==
	* Clinical diagnosis		===Work-up===
	* ~~CBC~~ (~~leukocytosis~~)~~, chem, coags, albumin~~		*Imaging = CT Abd/pelvis (preferred) or 3-view abdomen XR
	* Other ~~test~~: ~~LFT~~, lipase, UA, ~~Stool sample~~		**Ultrasound may reveal certain etiologies
	* ~~Abdominal Xray (supine, upright, lateral decubitus)- free air?~~		*Other work-up based on clinical suspicion, and may include:
	* US, CT a/p		**CBC, metabolic panel, coags, lipase, UA, stool studies
	* Diagnostic paracentesis to ~~r/o~~ SBP: PMN ≥ 250 cells/mm³		**Diagnostic [[Paracentesis\|paracentesis]] to evaluate for SBP (PMN ≥ 250 cells/mm³)

			===Evaluation===
			*Generally a clinical diagnosis

	==Management==		==Management==
	* Fluid resuscitation		*Fluid resuscitation
	* Surgical consult		*Surgical consult
	* IR consult if requiring abscess drainage		*IR consult if requiring abscess drainage

	===[[Antibiotics]]===		===[[Antibiotics]]===
	{{Peritonitis Antibiotics}}		{{Peritonitis Antibiotics}}

			==Disposition==
			*Admit

	==See Also==		==See Also==
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	==External Links==		==External Links==

	==~~Sources~~==		==References==
	<references/>		<references/>
	~~Daley BJ, et al. (2014, Sep 25). Peritonitis and Abdominal Sepsis. eMedicine. Retrieved 12/25/2014 from http://emedicine.medscape.com/article/180234-overview~~

	[[Category:GI]]		[[Category:GI]]

Rossdonaldson1: /* Differential Diagnosis */

2015-07-01T04:48:07Z

Differential Diagnosis

← Older revision		Revision as of 04:48, 1 July 2015
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	==Differential Diagnosis==		==Differential Diagnosis==
	* Perforation
	* Chronic peritoneal dialysis
	* Neoplasm
	* [[Pyelonephritis]]
	* [[Empyema]]
	* Rectus hematoma
	* Intestinal incarceration, [[hernia]]
	* [[Appendicitis]]
	* [[Mesenteric ischemia]]
	* [[Abdominal aneurysm]]

	{{Abdominal Pain DDX Diffuse}}		{{Abdominal Pain DDX Diffuse}}

Rossdonaldson1: /* Differential Diagnosis */

2015-07-01T04:47:32Z

Differential Diagnosis

← Older revision		Revision as of 04:47, 1 July 2015
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	* [[Mesenteric ischemia]]		* [[Mesenteric ischemia]]
	* [[Abdominal aneurysm]]		* [[Abdominal aneurysm]]

			{{Abdominal Pain DDX Diffuse}}

	==Diagnosis==		==Diagnosis==

Rossdonaldson1: /* Workup */

2015-07-01T04:47:24Z

Workup

← Older revision		Revision as of 04:47, 1 July 2015
Line 34:		Line 34:
	* [[Abdominal aneurysm]]		* [[Abdominal aneurysm]]

	==~~Workup~~==		==Diagnosis==
	* Clinical diagnosis		* Clinical diagnosis
	* CBC (leukocytosis), chem, coags, albumin		* CBC (leukocytosis), chem, coags, albumin

Yoshmd: /* Management */

2015-04-18T14:34:28Z

Management

@@ Line 48: / Line 48: @@
 ===[[Antibiotics]]===
-====Moderate====
+{{Peritonitis Antibiotics}}
 ==See Also==