Chronic Peritonitis
Related Subjects:Acute Cholecystitis
|Acute Appendicitis
|Chronic Peritonitis
|Abdominal Aortic Aneurysm
|Ectopic Pregnancy
|Acute Cholangitis
|Acute Abdominal Pain
|Penetrating Abdominal Trauma
|Acute Pancreatitis
|Acute Diverticulitis
⚠️ Peritonitis is a common complication of peritoneal dialysis.
📖 About
- 🧫 Chronic peritonitis is often seen in patients from overseas, particularly due to tuberculosis (TB).
🔬 Pathology
- In cases of tuberculosis (TB), peritonitis is characterized by granulomatous tuberculous changes affecting the peritoneum.
🧬 Causes
- 🌍 Patients from regions such as Asia and Africa, where TB is prevalent.
- 💉 Peritoneal dialysis (PD)-associated peritonitis.
- ❤️🔥 Repeated pelvic inflammatory disease (PID).
- 🧩 Lupus peritonitis.
🩹 Clinical Features
- 😴 Mild symptoms such as fatigue and tiredness.
- 💧 Chronic ascites and weight loss.
- 🌐 Bloating and abdominal swelling.
- 🚧 Intestinal obstruction due to matting of the peritoneum.
- 🧴 In PD patients: cloudy dialysis fluid is a key sign.
🧪 Investigations
- 🧾 Blood tests: FBC, U&E, LFTs, CRP.
- 🩻 Chest X-ray (CXR) and ultrasound (USS) of the abdomen.
- 💉 Ascitic fluid tap with culture and staining for TB.
- 🖥️ CT scan of the abdomen for further evaluation.
💊 Management
- 💊 Anti-tuberculous therapy in TB-related peritonitis.
- ⚕️ Treat the underlying cause (e.g., PD-associated peritonitis or autoimmune conditions).