Health Encyclopedia

Peritonitis

Definition

Peritonitis is an inflammation (irritation) of the peritoneum, the tissue that lines the wall of the abdomen and covers the abdominal organs.

Alternative Names

Acute abdomen

Causes, incidence, and risk factors

A collection of pus in the abdomen, called an intra-abdominal abscess, may cause peritonitis.

See the specific types of peritonitis:

Symptoms

Abdominal pain or tenderness
Abdominal distention
Fever
Low urine output
Nausea and vomiting
Point tenderness
Thirst
Fluid in the abdomen
Inability to pass feces or gas

Additional symptoms that may be associated with this disease include:

Cloudy dialysis fluid (if undergoing peritoneal dialysis)
Nausea and vomiting
Shaking chills
Signs of shock

Signs and tests

The doctor will perform a physical exam. The abdomen is usually tender, and may feel firm and "board-like." The patient may extensively "guard" the area, using protective movements such as curling up or refusing to allow the area to be touched.

Blood tests, x-rays, and CT scans may be ordered.

Treatment

The cause must be identified and treated promptly. Treatment typically involves surgery and antibiotics.

Expectations (prognosis)

With treatment, patients usually do well. Without treatment, the outcome is usually poor. However, in some cases, patients do poorly even with prompt and appropriate treatment.

Complications

Peritonitis can be life threatening and may cause a number of different complications. Complications depend on the specific type of peritonitis.

Calling your health care provider

Go to the emergency room or call the local emergency number (such as 911) if you have symptoms of peritonitis.

Prevention

Prevention depends on the cause. See the specific types of peritonitis.

Review Date:7/14/2006
Reviewed By:J.A. Lee, M.D., Division of Surgery, UCSF, San Francisco, CA. Review provided by VeriMed Healthcare Network.

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