Our experience demonstrates that, although palliative surgery in the form of a simple closure with an omental patch has been recommended in cases with diffuse peritonitis
and poor general condition, the patients had a better long-term postoperative survival period when curative resection was performed.
1988, in 246 patients with diffuse peritonitis
used the method only in 9%, and in a prospective study of 22 patients with multiple elective relaparotomy the abdomen was left open in 9 patients.
Perforation of pyometra leading to diffuse peritonitis
is not necessarily iatrogenic.
Diagnoses: Chronic open abdomen, failed hernia mesh repair, small bowel fistula, colostomy after Hartmann's procedure, diverticulitis, diffuse peritonitis
In a reported series of 8 patients, the clinical picture of fever, abdominal pain, localized or diffuse peritonitis
and leukocytosis was present in 7/8 (87.
At exploratory laporotomy, the inflammatory mass was identified, with omental wrapping preventing diffuse peritonitis
Gastrointestinal -- severe abdominal pain, nausea, vomiting, diarrhea, intestinal obstruction, paralytic ileus, malabsorption, intestinal bleeding, and diffuse peritonitis
The incision generally is made over the point of maximal tenderness, or at the midline if the diagnosis is seriously in doubt or if diffuse peritonitis
might be present.
The incision generally is made over the point of maximal tenderness or at the midline if the diagnosis is seriously in doubt or if diffuse peritonitis
might be present.
Ageing patients who presented with jaundice, choledocholithiasis, diffuse peritonitis
, septic shock or biliary malignancy were not considered for simple laparoscopic cholecystectomy.
Spontaneous perforation of pyometra with diffuse peritonitis
Pnematosis cystoides intestinalis associated with massive free air mimicking perforated diffuse peritonitis