Ten patients of necrotizing pancreatitis causing diffuse peritonitis
Our case presented with the unusual features of both diffuse peritonitis
Shurkalin, 1989, in 232 patients with diffuse peritonitis
applied planned relaparotomy in 34 (8.79%), and laparostomy--in 18 (7.76%).
Perforation of pyometra leading to diffuse peritonitis
is not necessarily iatrogenic.
The patient is a 63-year-old man who, two years prior to transfer, underwent a Hartmann's operation for diffuse peritonitis
from perforated diverticular abscess of the sigmoid colon.
In group B one complete transection of the common hepatic duct and one diffuse peritonitis
after T-tube removal required operative treatment.
Ngowe-ngowe, "Which cause of diffuse peritonitis
is the deadliest in the tropics?
[4,5] Therefore, the study of pre and post-operative continuous peritoneal lavage with antibiotic solution deserves further clinical trial to establish its role as an adjunctive lifesaving measure in diffuse peritonitis
. It has been advocated that morbidity and mortality associated with peritonitis can further be reduced if irrigation of peritoneal cavity is continued in pre and post-operative phase using antibiotic thereby removing the debris, bacteria and other noxious agents and directly attacking bacteria which is not possible to achieve by systemic administration safely.
"Prognostic factors in diffuse peritonitis
," Langenbecks-Arch-Chir., Vol.377, No2, pp.89-93.
(2) Pneumoperitoneum has been shown to be an indicator of diffuse peritonitis
, constituting a bad prognostic factor, (4) and there is an increased risk of postoperative complications in cases of perforation.
* Diffuse peritonitis
. Infectious peritonitis causes a chemical inflammatory burn to the peritoneum lining.
Patients typically present with sudden, severe progressive epigastric pain, with vomiting and fever supplemented by abdominal guarding/rigidity indicative of diffuse peritonitis
.  There is free air under the diaphragm on an erect chest radiograph.