Peritonitis is an inflammation of the peritoneum, which is a membrane that surrounds the abdominal cavity and coats the organs of the abdomen, forming a kind of sac. This complication is usually the result of a severe infection, rupture, or inflammation of one of the organs in your abdomen, such as appendicitis or pancreatitis, for example.
Thus, there are many factors that can lead to the development of peritonitis, such as gastrointestinal diseases, abdominal cavity injuries or medical procedures that cause peritoneum infection or irritation, causing signs and symptoms such as abdominal pain and tenderness, fever, vomiting or imprisonment. belly, for example.
- The treatment of peritonitis is indicated by the doctor and depends on its cause.
- But it is usually done with antibiotics and stabilization in the hospital.
- And surgery may also be indicated.
The main symptom of peritonitis is abdominal pain and tenderness, which usually gets worse when you move or press the area, for example. Other common signs and symptoms that may occur include bloating, fever, nausea and vomiting, loss of appetite, diarrhea, decreased urine, thirst and stool and gas removal.
Para confirmar o diagnóstico de peritonite, o médico poderá fazer uma avaliação clínica que revela sinais típicos da doença, com a palpação do abdômen ou pedir que o paciente fique em determinada posição. Além disso, exames de sangue que avaliam infecções e inflamações, além de exames de imagem como radiografia, ultrassom ou tomografia podem ser solicitados.
Existem inúmeras causas de peritonite. No entanto, citamos aqui algumas das mais comuns:
A apendicite é uma das principais causas de peritonite, pois a inflamação que acontece no apêndice pode se estender através da cavidade abdominal e atingir o peritôneo, principalmente quando ela não é rapidamente tratada e apresenta complicações como ruptura ou formação de abscesso. Saiba reconhecer quando a dor abdominal pode ser apendicite.
Also known as cholecystitis, it usually occurs when gallstones cause a blockage of the bile duct and then inflammation of the bile duct. This inflammation should be treated quickly by your doctor, including surgery and antibiotic use.
Caso não seja tratada adequadamente, a inflamação da vesícula estende-se para outros órgãos e para o peritôneo, provocando a peritonite e outras complicações como abscessos, fístulas, risco de infecção generalizada.
A pancreatite é uma inflamação do pâncreas, que gera sintomas que geralmente incluem dor abdominal que irradia para as costas, enjoo e vômitos. Caso não seja tratada adequadamente, a inflamação pode se tornar grave e provocar complicações como peritonite, necrose e formação de abscesso, colocando em risco a vida da pessoa afetada. Veja mais sobre pancreatite.
Lesões em órgãos abdominais seja por rupturas, lesões por traumatismos, complicações após cirurgias ou mesmo por inflamações são importantes causas de peritonite. Isto porque as lesões podem liberar conteúdos irritativos à cavidade abdominal, assim como provocar contaminações por bactérias.
Medical procedures such as peritoneal dialysis, gastrointestinal surgeries, colonoscopies, or endoscopy can cause peritonitis from complications that can occur, either through perforations or from contamination of surgical equipment.
It is a condition in which the intestine stops working and stops its peristaltic movements. This condition can occur after abdominal surgery or situations such as inflammation, bruising, side effects of certain medications.
Symptoms caused by paralytic ileus include loss of appetite, constipation, vomiting or even intestinal obstruction which, in the most severe cases, can lead to perforation of the intestine, resulting in the spread of peritonitis-causing bacteria. Learn more about this disease.
Diverticulitis consists of inflammation and infection of the diverticulums, which are small folds or poups that appear on the intestinal walls, especially in the last part of the colon, causing pain and abdominal tenderness especially on the lower left side, in addition to diarrhea or constipation. . nausea, vomiting, fever and chills.
Your treatment should be initiated quickly by the doctor, based on the use of antibiotics, analgesics, dietary changes and hydration, in order to avoid aggravation of inflammation and the appearance of complications such as bleeding, fistula formation, abscesses, intestinal obstruction and very peritonitis. . Learn more about diverticulitis.
Treatment of peritonitis depends on its cause, but it is always advisable to consult a doctor as soon as possible so that treatment is started quickly, in order to avoid complications.
Treatment is usually done with antibiotics to treat infection and prevent the spread of bacteria. At the same time, hospitalization is indicated when analgesics and anti-inflammatory, fluids administered intravenously or oxygen are given.
In addition, if these measures are not sufficient to treat the problem, surgery may be required to resolve the cause of inflammation, such as removing the appendix, removing an area of necrosis, or draining an abscess, for example.