peritonitti
Peritonitis is inflammation of the peritoneum, the membrane lining the abdominal cavity. It is most often caused by infection, though chemical irritation can also occur. The condition is commonly categorized as primary, secondary, or tertiary. Primary peritonitis refers to infection of ascitic fluid without an evident intra-abdominal source, most often in people with cirrhosis or nephrotic syndrome. Secondary peritonitis results from perforation or contamination of the gastrointestinal tract, such as by peptic ulcer, diverticulitis, appendicitis, or trauma. Tertiary peritonitis denotes persistent or recurrent infection after initial treatment.
Common causes and risk factors include liver disease with ascites, abdominal trauma or surgery, malignancy, and
Diagnosis relies on clinical evaluation plus laboratory tests and imaging. Blood tests often show leukocytosis and
Treatment requires prompt broad-spectrum intravenous antibiotics and must address the source. Secondary peritonitis generally requires urgent