Peritonitis

Overview :

Peritonitis may be primary (meaning that it occurs spontaneously, and not as the result of some other medical problem) or secondary (meaning that it results from some other condition). It is most often due to infection by bacteria, but may also be due to some kind of a chemical irritant (such as spillage of acid from the stomach, bile from the gall bladder and biliary tract, or enzymes from the pancreas during the illness called pancreatitis). Peritonitis has even been seen in patients who develop a reaction to the cornstarch used to powder gloves worn during surgery. Peritonitis with no evidence of bacteria, chemical irritant, or foreign body has occurred in such diseases as systemic lupus erythematosus, porphyria, and familial Mediterranean fever. When the peritoneum is contaminated by blood, the blood can both irritate the peritoneum and serve as a source of bacteria to cause an infection. Blood may leak into the abdomen due to a burst tubal pregnancy, an injury, or bleeding after surgery.