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Secondary peritonitis and intra-abdominal abscesses including splenic and hepatic abscesses generally occur because of the entry of enteric micro-organisms into the peritoneal cavity through a defect in the wall of the intestine or other viscus as a result of obstruction, infarction or direct trauma.
Rigidity (involuntary contraction of the abdominal muscles) is the most specific exam finding for diagnosing peritonitis. [14] If focal peritonitis is detected, further work-up should be done. If diffuse peritonitis is detected, then urgent surgical consultation should be obtained, and may warrant surgery without further investigations.
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
Other causes of fever following delivery include breast engorgement, urinary tract infections, infections of an abdominal incision or an episiotomy, and atelectasis. [ 1 ] [ 2 ] Due to the risks following caesarean section, it is recommended that all women receive a preventive dose of antibiotics such as ampicillin around the time of surgery. [ 1 ]
Spontaneous bacterial peritonitis (SBP) is the development of a bacterial infection in the peritoneum, despite the absence of an obvious source for the infection. [1] It is specifically an infection of the ascitic fluid – an increased volume of peritoneal fluid. [2] Ascites is most commonly a complication of cirrhosis of the liver. [1]
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Specific cause of abdominal compartment syndrome is not known, although some causes can be sepsis and severe abdominal trauma. Increasing pressure reduces blood flow to abdominal organs and impairs pulmonary , cardiovascular , renal , and gastro-intestinal (GI) function, causing obstructive shock , multiple organ dysfunction syndrome and death.
Alyson Nelson had taken care of people her entire life. The 64-year-old retired nurse had cared for her mother and her husband - the father of the youngest of her four children - as he died of cancer.