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Acute Suppurative Peritonitis

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Acute Suppurative Peritonitis Gu Yan Department of General Surgery Anatomy of peritoneal cavity Peritoneum---parietal peritoneum ---visceral ... – PowerPoint PPT presentation

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Title: Acute Suppurative Peritonitis


1
Acute Suppurative Peritonitis
  • Gu Yan
  • Department of General Surgery

2
Omental foramen
Less omentum
Stomach
Pancreas
Duodenum
Omental bursa
Mesentery of small intestine
Greater omentum
Rectouterine pouch
Vesicouterine pouch
Anatomy of peritoneal cavity
3
Anatomy of peritoneal cavity
  • Peritoneum---parietal peritoneum
  • ---visceral peritoneum
  • Peritoneal cavity in man and woman
  • Nerve innervation of the peritoneum

4
Acute suppurative Peritonitis
  • Definition of peritonitis
  • Classification of peritonitis
  • Bacterial and nonbacterial peritonitis
  • Acute, subacute and chronic peritonitis
  • Primary and secondary peritonitis
  • Diffuse and local peritonitis

5
Secondary peritonitis
  • What is secondary peritonitis
  • Organisms in secondary peritonitis
  • Escherichia coli
  • anaerobic bacteroid
  • streptococcus
  • proteus species

6
Secondary peritonitis
  • Causes of secondary peritonitis
  • Perforation of gastrointestinal
    tract or rupture from injuries in the abdominal
    wall or the intraabdominal viscera
  • Diffuse spreading of the intraabdominal
  • infection within the peritoneal cavity, etc.

7
Common causes of peritonitis
Acute cholecystitis
Meckels Diverticulitis
8
Case report
9
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10
Primary peritonitis
  • What is primary peritonitis
  • Diffuse bacterial infection without an
    apparent intraabdominal source of infection
  • Organisms in primary peritonitis
  • pneumococcus, hemolytic streptococcus, E
    coli, etc.

11
Primary peritonitis
  • Routes of bacterial transmission
  • blood stream
  • ascending
  • direct bacterial transmission
  • transmural spreading

12
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13
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14
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15
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16
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17
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18
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19
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20
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21
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