ACTA FAC MED NAISS 2008; 25 (3): 133-138

Professional article

PRIMARY PERITONITIS

Milan Radojkovic¹,
Miroslav Stojanovic¹
Aleksandar Zlatic¹,
Ljiljana Jeremic-Savic¹
Danijela Radojkovic²
Mirjana Radisavljevic


¹Surgical Clinic, Clinical Center Nis
²Clinic for endocrinology, diabetes and metabolic diseases, Clinical Center Nis
³Clinic for gastroenterology and hepatology, Clinical Center Nis

  SUMMARY

Due to its relatively low incidence, unspecific etiopathogenesis, often vague simptomatology and complex multidisciplinary treatment primary peritonitis remains a diagnostic and therapeutic challenge for a physician, especially for the general surgeons who most commonly deal with intraabdominal infections that are the result of a hollow viscus perforation (secondary peritonitis). Primary peritonitis as challenging multidisciplinary clinical entity and possible surgical problem is under review in presenting paper. The definition, incidence, pathogenesis, microbiological etiology, clinical presentation, diagnosis, treatment and prevention are analyzed in order to provide with updated information most valuable for adequate management of this serious clinical condition.

Key words: primary peritonitis, cirrhosis, ascites