ACUTE PERITONITIS
3.1 PATHOLOGY
Contamination of the peritoneum with intestinal content produces
both chemical and becterial peritonitis.
The inflammatory response consistes of dilatation of the small
vessels of the peritoneum and an increased capillary
permeability.
- There is increased fluid exudation both into the peritoneal
cavity and in the submesothelial space (third space) producing
oedema and thickening of the peritoneum.
- The exudate contain phagocytes and fibrin
- This fibrin content tends to cause adhesion between adjoining
inflammed peritoneal surfaces.
- The peritoneum loses its shine and may even be roughened on
the surface.
- The sequestration of fluid in the third space causes a series
of body changes that can threaten the life of the patient.
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