Peritoneum peritonitis

• Acute vs chronic

  • TYPES:

    • Primary (uncommon)
    • Secondary peritonitis:
      • Generalized vs Localized
      • Polymicrobial
      • Common organisms: E coli, Streptococci, Bacteroides, Klebsiela, staphylococcus
      • Uncommon organisms: Chlamydia, Pneumococcus, Mycobacterium tuberculosis

  • Routes of infection

    • GI perforation: most common
    • Exogenous: Drains, trauma
    • Transmural: Ischemic bowel, fallopian tubes (PID)
    • Haematogenous: Rare ? Primary peritonitis

  • Aetiology:

    • Bacterial infection:
      • Acute: Perforated bowel, appendicitis
      • Chronic: Tuberculosis
    • Chemical peritonitis: Bile peritonitis, Acute pancreatitis
    • Ischemic injury: Bowel strangulation, vascular occlusion
    • Trauma: Surgery
    • Allergic: Starch peritonitis from gloves