Aetiology of generalised peritonitis
Generalised peritonitis can be caused by the following:
- any cause of localised peritonitis if left for long enough
- perforation of a viscus causing generalised peritoneal irritation, e.g. stomach, colon, gall bladder, enzymatic discharge in acute pancreatitis
- chemical peritonitis may be caused by any foreign substance introduced into the peritoneum, for example talcum powder from operating gloves
- spreading intraperitoneal infection, e.g. faecal contamination following bowel perforation, rupture of an intra-abdominal abscess, anastomotic leak, trauma, surgery
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