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Tertiary peritonitis information


Tertiary peritonitis
Other namesRecurrent peritonitis
SpecialtyEmergency medicine, general surgery
Symptomsfever, shock, abdominal pain
Usual onsetAcute
Diagnostic methodclinical examination, surgical intervention

Tertiary peritonitis (also known as recurrent peritonitis) is the inflammation of the peritoneum which persists for 48 hours after a surgery that has been successfully carried out in adequate surgical conditions.[1][2][3] Tertiary peritonitis is usually the most delayed and severe consequence of nosocomial intra-abdominal infection. Patients who acquire tertiary peritonitis are usually admitted to ICU due to the critical, life-threatening nature of the condition which can lead to multi-organ failure despite treatment and has a high mortality rate of 60%.[4] Signs and symptoms of tertiary peritonitis include fever, hypotension and abdominal pain. Diagnosis of the condition is often difficult and treatment intervention should be as early as possible.

  1. ^ Nathens, Avery B.; Rotstein, Ori D.; Marshall, John C. (1 February 1998). "Tertiary Peritonitis: Clinical Features of a Complex Nosocomial Infection". World Journal of Surgery. 22 (2): 158–163. doi:10.1007/s002689900364. PMID 9451931. S2CID 25329391.
  2. ^ Kreiss, Christianna M.; Bauer, Anthony J. (2007). "Peritonitis". xPharm: The Comprehensive Pharmacology Reference. pp. 1–7. doi:10.1016/B978-008055232-3.60801-3. ISBN 978-0-08-055232-3.
  3. ^ Gupta, SanjeevKumar; Mishra, ShashiPrakash; Tiwary, SatyendraKumar; Mishra, Manjaree (2014). "An introduction of Tertiary Peritonitis". Journal of Emergencies, Trauma, and Shock. 7 (2): 121–3. doi:10.4103/0974-2700.130883. PMC 4013728. PMID 24812458.
  4. ^ Martín-López, A.; Castaño-Ávila, S.; Maynar-Moliner, F. J.; Urturi-Matos, J. A.; Manzano-Ramírez, A.; Martín-López, H. P. (2012). "Tertiary peritonitis: As difficult to define as it is to treat". Cirugia Espanola. 90 (1): 11–6. doi:10.1016/j.ciresp.2010.11.005. PMID 21269607.

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