TOPIC: 
PERITONITIS 
(Inflammation of the peritoneum)
PERITONITIS 
What is inflammation? 
What is Peritoneum? 
What is Peritonitis? 
What causes Peritonitis? 
What are the clinical features? 
How is it treated?
What is inflammation? 
 It is a physiological response to tissue damage. 
 It takes place when microbes have overcome the 
non-specific defense mechanism of the body. 
 Its aim is protective: to isolate, inactivate and 
remove BOTH the causative agent and the 
damaged tissue so that healing can take place. 
 It is characterized by a series of local changes: 
Redness, heat, pain, swelling and loss of 
function.
What is Peritoneum? 
 It is the serous membrane covering the 
abdominal Viscera (organs). 
 It is the largest serous membrane in the 
Human body. 
Made of Two layers; parietal peritoneum 
and visceral peritoneum 
 Parietal peritoneum covers the walls of the 
abdominal cavity.
What is Peritoneum? 
 Visceral peritoneum covers the 
viscera/organs 
 There is a space between the two layers 
known as the Peritoneal cavity. 
 This cavity contains the serous fluid. 
 This fluid is secreted by the peritoneal cells. 
 Abdominal organs are suspended in the 
peritoneal cavity and surrounded by the 
serous fluid.
What is Peritonitis? 
peritonitis is an infection resulting 
in the inflammation of the 
peritoneum. 
 If left untreated the infections can 
spread and become potentially life 
threatening.
What are the types Peritonitis? 
• There are basically two types: 
spontaneous peritonitis 
secondary peritonitis 
• This classification is done with 
regards to the cause.
Causes of peritonitis 
 It can be cause by bacterial or fungal infections, excess 
fluid build up or injury . 
spontaneous peritonitis: 
 Peritoneal dialysis: Dialysis is the process that removes 
waste products and extra fluids from the blood when 
the kidneys cannot function properly. During this 
process, tiny blood vessels in the peritoneal cavity are 
used to perform this filtering function which can 
result in spontaneous peritonitis.
Causes of peritonitis 
 Fluid build-up: Diseases such as cirrhosis which cause 
damage to the liver, can result in fluid buildup in the 
abdominal cavity known as ascites. This fluid buildup 
can often lead to bacterial infection and eventually to 
peritonitis. 
Secondary peritonitis: 
• The main cause here is the escape of pus or other 
fluids from an infected abdominal organ such as, 
burst appendix, Pancreatitis, Salpingitis, abdominal 
surgery, trauma and injury etc.
Clinical Features 
 Swelling and tenderness in the abdomen 
 light or severe, sharp pain 
 Fever 
 Loss of appetite 
 Thirst 
 Nausea and vomiting 
 Limited urine output 
 Inability to pass gas or stool
treatment 
 Hospitalization 
 Medications(Dr prescribes antibiotics to kill bacteria 
and prevent the infection from spreading) 
 Intravenous fluids (to rehydrate the body and replace 
lost electrolytes) 
 Surgery (to remove infected tissue and repair damaged 
organs)
peritonitis

Peritonitis emerson

  • 1.
  • 2.
    PERITONITIS What isinflammation? What is Peritoneum? What is Peritonitis? What causes Peritonitis? What are the clinical features? How is it treated?
  • 3.
    What is inflammation?  It is a physiological response to tissue damage.  It takes place when microbes have overcome the non-specific defense mechanism of the body.  Its aim is protective: to isolate, inactivate and remove BOTH the causative agent and the damaged tissue so that healing can take place.  It is characterized by a series of local changes: Redness, heat, pain, swelling and loss of function.
  • 4.
    What is Peritoneum?  It is the serous membrane covering the abdominal Viscera (organs).  It is the largest serous membrane in the Human body. Made of Two layers; parietal peritoneum and visceral peritoneum  Parietal peritoneum covers the walls of the abdominal cavity.
  • 5.
    What is Peritoneum?  Visceral peritoneum covers the viscera/organs  There is a space between the two layers known as the Peritoneal cavity.  This cavity contains the serous fluid.  This fluid is secreted by the peritoneal cells.  Abdominal organs are suspended in the peritoneal cavity and surrounded by the serous fluid.
  • 7.
    What is Peritonitis? peritonitis is an infection resulting in the inflammation of the peritoneum.  If left untreated the infections can spread and become potentially life threatening.
  • 8.
    What are thetypes Peritonitis? • There are basically two types: spontaneous peritonitis secondary peritonitis • This classification is done with regards to the cause.
  • 9.
    Causes of peritonitis  It can be cause by bacterial or fungal infections, excess fluid build up or injury . spontaneous peritonitis:  Peritoneal dialysis: Dialysis is the process that removes waste products and extra fluids from the blood when the kidneys cannot function properly. During this process, tiny blood vessels in the peritoneal cavity are used to perform this filtering function which can result in spontaneous peritonitis.
  • 10.
    Causes of peritonitis  Fluid build-up: Diseases such as cirrhosis which cause damage to the liver, can result in fluid buildup in the abdominal cavity known as ascites. This fluid buildup can often lead to bacterial infection and eventually to peritonitis. Secondary peritonitis: • The main cause here is the escape of pus or other fluids from an infected abdominal organ such as, burst appendix, Pancreatitis, Salpingitis, abdominal surgery, trauma and injury etc.
  • 11.
    Clinical Features Swelling and tenderness in the abdomen  light or severe, sharp pain  Fever  Loss of appetite  Thirst  Nausea and vomiting  Limited urine output  Inability to pass gas or stool
  • 12.
    treatment  Hospitalization  Medications(Dr prescribes antibiotics to kill bacteria and prevent the infection from spreading)  Intravenous fluids (to rehydrate the body and replace lost electrolytes)  Surgery (to remove infected tissue and repair damaged organs)
  • 13.