Chronic Peritonitis
Related Subjects:Acute Cholecystitis
|Acute Appendicitis
|Chronic Peritonitis
|Abdominal Aortic Aneurysm
|Ectopic Pregnancy
|Acute Cholangitis
|Acute Abdominal Pain/Peritonitis
|Assessing Abdominal Pain
|Penetrating Abdominal Trauma
|Acute Pancreatitis
|Acute Diverticulitis
โ ๏ธ Peritonitis is a common complication of peritoneal dialysis.
๐ About
- ๐งซ Chronic peritonitis is often seen in patients from overseas, particularly due to tuberculosis (TB).
๐ฌ Pathology
- In cases of tuberculosis (TB), peritonitis is characterized by granulomatous tuberculous changes affecting the peritoneum.
๐งฌ Causes
- ๐ Patients from regions such as Asia and Africa, where TB is prevalent.
- ๐ Peritoneal dialysis (PD)-associated peritonitis.
- โค๏ธโ๐ฅ Repeated pelvic inflammatory disease (PID).
- ๐งฉ Lupus peritonitis.
๐ฉน Clinical Features
- ๐ด Mild symptoms such as fatigue and tiredness.
- ๐ง Chronic ascites and weight loss.
- ๐ Bloating and abdominal swelling.
- ๐ง Intestinal obstruction due to matting of the peritoneum.
- ๐งด In PD patients: cloudy dialysis fluid is a key sign.
๐งช Investigations
- ๐งพ Blood tests: FBC, U&E, LFTs, CRP.
- ๐ฉป Chest X-ray (CXR) and ultrasound (USS) of the abdomen.
- ๐ Ascitic fluid tap with culture and staining for TB.
- ๐ฅ๏ธ CT scan of the abdomen for further evaluation.
๐ Management
- ๐ Anti-tuberculous therapy in TB-related peritonitis.
- โ๏ธ Treat the underlying cause (e.g., PD-associated peritonitis or autoimmune conditions).