Acute Suppurative Peritonitis

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Acute Suppurative Peritonitis

• Gu Yan
• Department of General Surgery

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Omental foramen
Less omentum
Stomach
Pancreas
Duodenum
Omental bursa
Mesentery of small intestine
Greater omentum
Rectouterine pouch
Vesicouterine pouch
Anatomy of peritoneal cavity
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Anatomy of peritoneal cavity

• Peritoneum---parietal peritoneum
• ---visceral peritoneum
• Peritoneal cavity in man and woman
• Nerve innervation of the peritoneum

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Acute suppurative Peritonitis

• Definition of peritonitis
• Classification of peritonitis
• Bacterial and nonbacterial peritonitis
• Acute, subacute and chronic peritonitis
• Primary and secondary peritonitis
• Diffuse and local peritonitis

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Secondary peritonitis

• What is secondary peritonitis
• Organisms in secondary peritonitis
• Escherichia coli
• anaerobic bacteroid
• streptococcus
• proteus species

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Secondary peritonitis

• Causes of secondary peritonitis
• Perforation of gastrointestinal
  tract or rupture from injuries in the abdominal
  wall or the intraabdominal viscera
• Diffuse spreading of the intraabdominal
  
• infection within the peritoneal cavity, etc.

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Common causes of peritonitis
Acute cholecystitis
Meckels Diverticulitis
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Case report
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Primary peritonitis

• What is primary peritonitis
• Diffuse bacterial infection without an
  apparent intraabdominal source of infection
• Organisms in primary peritonitis
• pneumococcus, hemolytic streptococcus, E
  coli, etc.

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Primary peritonitis

• Routes of bacterial transmission
• blood stream
• ascending
• direct bacterial transmission
• transmural spreading

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