scholarly journals Accuracy of ultrasonography for the diagnosis of acute generalized peritonitis in children: A two-year review

2021 ◽  
Vol 5 (4) ◽  
pp. 68-70
Author(s):  
Papa Alassane Mbaye ◽  
Florent Tshibwid A Zeng ◽  
Alassane Ndiaye ◽  
Mbaye Fall ◽  
Doudou Gueye ◽  
...  
Keyword(s):  
Generalized Peritonitis

scholarly journals Antithrombotic drugs have a minimal effect on intraoperative blood loss during emergency surgery for generalized peritonitis: a nationwide retrospective cohort study in Japan

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Tadashi Matsuoka ◽  
Nao Ichihara ◽  
Hiroharu Shinozaki ◽  
Kenji Kobayashi ◽  
Alan Kawarai Lefor ◽  
...  
Keyword(s):  
Cohort Study ◽  
Propensity Score ◽  
Blood Loss ◽  
Emergency Surgery ◽  
Retrospective Cohort ◽  
Confounding Factors ◽  
Intraoperative Blood Loss ◽  
Antithrombotic Drugs ◽  
Generalized Peritonitis ◽  
Blood Loss Volume

Abstract Background The effect of antithrombotic drugs on intraoperative operative blood loss volume in patients undergoing emergency surgery for generalized peritonitis is not well defined. The purpose of this study was to investigate the effect of antithrombotic drugs on intraoperative blood loss in patients with generalized peritonitis using a nationwide surgical registry in Japan. Method This retrospective cohort study used a nationwide surgical registry data from 2011 to 2017 in Japan. Propensity score matching for the use of antithrombotic drugs was used for the adjustment of age, gender, comorbidities, frailty, preoperative state, types of surgery, surgical approach, laboratory data, and others. The main outcome was intraoperative blood loss: comparison of intraoperative blood loss, ratio of intraoperative blood loss after adjusted for confounding factors, and variable importance of all covariates. Results A total of 70,105 of the eligible 75,666 patients were included in this study, and 2947 patients were taking antithrombotic drugs. Propensity score matching yielded 2864 well-balanced pairs. The blood loss volume was slightly higher in the antithrombotic drug group (100 [10–349] vs 70 [10–299] ml). After adjustment for confounding factors, the use of antithrombotic drugs was related to a 1.30-fold increase in intraoperative blood loss compared to non-use of antithrombotic drugs (95% CI, 1.16–1.45). The variable importance revealed that the effect of the use of antithrombotic drugs was minimal compared with surgical approach or type of surgery. Conclusion This study shows that while taking antithrombotic drugs is associated with a slight increase in intraoperative blood loss in patients undergoing emergency surgery for generalized peritonitis, the effect is likely of minimal clinical significance.

Causes of acute peritonitis in 1188 consecutive adult patients in Ghana

2005 ◽  
Vol 35 (2) ◽  
pp. 84-85 ◽  
Author(s):  
Michael Ohene-Yeboah
Keyword(s):  
Acute Appendicitis ◽  
Prospective Study ◽  
Teaching Hospital ◽  
Communicable Diseases ◽  
Adult Patients ◽  
Emergency Unit ◽  
Ileal Perforation ◽  
Acute Peritonitis ◽  
Generalized Peritonitis ◽  
Previous Series

In a five-year prospective study,1188 consecutive adult patients were admitted and treated for acute generalized peritonitis at the Surgical Emergency Unit of the Komfo Anokye Teaching Hospital, Kumasi, Ghana. Appendicitis and typhoid ileal perforation were the commonest causes, occurring in 43.1% and 35.1% of patients, respectively. Other conditions (gastroduodenal perforations, ruptured abscesses, traumatic bowel perforations and amoebic colonic perforations) accounted for fewer than 25% of cases. This paper notes that acute appendicitis and typhoid perforation remain the leading causes of peritonitis in Ghana. Compared with previous series, the importance of appendicitis in acute peritonitis has diminished. The complications of communicable diseases now cause peritonitis more commonly than 35 years ago. This may reflect deteriorating conditions of sanitation and housing during the intervening period.

INCREASED MORTALITY AND ALTERED IMMUNITY IN NEONATAL SEPSIS PRODUCED BY GENERALIZED PERITONITIS

Shock ◽  
2007 ◽  
pp. 1 ◽  
Author(s):  
James L. Wynn ◽  
Philip O. Scumpia ◽  
Matthew J. Delano ◽  
Kerri A. O'Malley ◽  
Ricardo Ungaro ◽  
...  
Keyword(s):  
Neonatal Sepsis ◽  
Generalized Peritonitis

To Irrigate or Not in Generalized Peritonitis

1982 ◽  
Vol 117 (10) ◽  
pp. 1371
Author(s):  
JACOB N. NOMICOS
Keyword(s):  
Generalized Peritonitis

scholarly journals Prise En Charge Des Péritonites Aiguës Dans Un Hôpital De District En Afrique Sub-saharienne : Cas Du Bénin

2017 ◽  
Vol 13 (36) ◽  
pp. 388
Author(s):  
Bio Tamou Sambo ◽  
Salako Alexandre Allodé ◽  
Didier Sewadé Wekpon ◽  
Djifid Morel Séto ◽  
Montcho Adrien Hodonou ◽  
...  
Keyword(s):  
Mortality Rate ◽  
District Hospital ◽  
Public Health Problem ◽  
Sub Saharan Africa ◽  
Prise En Charge ◽  
Prospective Data ◽  
Acute Peritonitis ◽  
Generalized Peritonitis ◽  
Sub Saharan ◽  
Surgery Department

Introduction: Peritonitis remains a public health problem in Africa. We aim to describe the epidemiological, etiological and therapeutic aspects of acute peritonitis in a district hospital in Sub Saharan Africa. Methods: This was a descriptive study with prospective data collection over a period of 15 months from May 1 st 2015 to July 31st 2016 in Bembereke district hospital. It has taken into account all the patients managed in the general surgery department for acute generalized peritonitis that has been confirmed at laparotomy. Results: Fifty-three patients, 38 men (71.7 %) and 15 women (28.3 %) had been registered. The average age of the patients was 19.8 ± 16.9 years. The main etiologies were: non-traumatic ileal perforation from typhoid infection 52.8%; perforated gastric or duodenal ulcer 17%; complicated appendicitis and abdominal traumas 11.3% each one. Twenty nine patients (54.7%) have been operated by a surgeon and the 24 remaining (45.3%) by a general practitioner with surgical skills. Twenty one patients (39.6%) had postoperative complications of which 11 cases of parietal suppurations (52.4%). The mortality rate was 11.3%. The mean hospital stay was 22.5 ± 4 days. Conclusion: In northern-Benin, peritonitis remains dominated by the complications of typhoid fever. The mortality rate remains high. Prevention requires good hygiene and awareness of early consultations.

scholarly journals A rare cause of right iliac fossa lump: contained fish bone perforation of caecum

2020 ◽  
Vol 7 (10) ◽  
pp. 3476
Author(s):  
Washim F. Khan ◽  
Sandeep Jain ◽  
Yashwant S. Rathore ◽  
Sunil Chumber
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Iliac Fossa ◽  
Exploratory Laparotomy ◽  
Right Hemicolectomy ◽  
Fish Bone ◽  
Rare Entity ◽  
Radiological Findings ◽  
Generalized Peritonitis ◽  
High Index Of Suspicion

Ingested foreign bodies usually pass uneventfully through the gastrointestinal tract but few of them can cause symptoms. They can get stuck at acute angulations or narrow part of intestine and can perforate leading to localized to generalized peritonitis, collection or abscess formation. We describe a case of 59 year old gentleman who presented with pain in right iliac fossa with fever and a hard, tender lump. Initial investigation revealed a mass in right iliac fossa adherent to anterior abdominal was in right iliac fossa region with a foreign body inside. Patient was managed with exploratory laparotomy, removal of a fish bone from cacecum and limited right hemicolectomy. Fishbone perforation of caecum is a rare entity. Careful corroboration between patient’s presentation and radiological findings with a high index of suspicion is needed for pre-operative diagnosis.

scholarly journals STUDY OF PREDICTIVE ABILITY OF MODIFIED APACHE II SCORE TO PROGNOSTICATE THE OUTCOME AND SEVERITY OF GENERALIZED PERITONITIS SECONDARY TO TYPHOID ILEAL PERFORATION

2015 ◽  
Vol 4 (90) ◽  
pp. 15498-15501
Author(s):  
Bhagchand Khorwal ◽  
Kuldeep Singh Yadav ◽  
Vikesh Joshi ◽  
Irfan Irfan ◽  
Mukesh Sharma ◽  
...  
Keyword(s):  
Predictive Ability ◽  
Apache Ii ◽  
Apache Ii Score ◽  
Ileal Perforation ◽  
Generalized Peritonitis
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