• Title/Summary/Keyword: peritonitis

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Ileal Atresia Complicated by Meconium Peritonitis (태변성 복막염을 동반한 회장무공증)

  • Moon, Seok-II;Song, Young-Tack
    • Advances in pediatric surgery
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    • v.2 no.2
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    • pp.115-118
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    • 1996
  • Meconium peritonitis is a primarily aseptic, chemical peritonitis caused by the spill of meconium into the abdominal cavity through an intestinal perforation during the intrauterine or perinatal period. The perforation is known to be related to intrauterine vascular compromise. Recently, the authors experienced 4 cases of ileal atresia complicated by meconium peritonitis. The male to female sex ratio was 1 : 3, and age at operation was 1 day(2 cases), 3 days(2 cases). Three cases had generalized peritonitis, and one the cystic type of meconium peritonitis. The types of ileal atresia were IIIa(2 cases), IIIb(1 case), and II(1 case). The proximal blind ileal end was perforated in 3 cases, and distal end perforation was in 1 case of cystic type. Postoperative recovery was excellent in all cases.

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A Case Treated Tubercular Peritonitis Getting after Childbirth (산후에 발병된 결핵성 복막염환자의 치험 1례)

  • Park Sang Wook;Kim Jong Hwan;Seo Su Hyun;Hwang Won Duck
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.16 no.6
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    • pp.1297-1301
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    • 2002
  • Tubercular peritonitis become ill suddenly or insidiously. Common clinical symptom is an abdominal pain which is spread out to all abdomen or extention of abdomen by a localized pain and ascites. Besides, there is fever, nausea, vomiting, diarrhea and general whole body sign by tuburclosis. We watched a tubercular peritonitis patient which is a woman in poor health after childbirth and investigated treatment process, every disease after childbirth and tubercular peritonitis. We treated her with Herb-Medicine for 30 days according to chief symptom's changes. The patient improved in clinical symptoms.

Factors Influencing the Occurrence of Peritonitis in Patients on CAPD (복막투석 환자의 복막염 발생 영향요인)

  • Kim, Young-Hae;Kim, Yo-Na;Lee, Nae-Young
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.15 no.2
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    • pp.206-212
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    • 2008
  • Purpose: This study was done to identify the effects of self-care behavior, self-efficacy and family support on the occurrence of peritonitis in patients on CAPD (Continuous Ambulatory Peritoneal Dialysis). Methods: Data were collected from 81 patients on CAPD either as out-patients or in-patients between July and September 2004. Data were analyzed to identify relevant frequencies, percentages, averages, and standard deviations, and t-test and logistic regression were done using SPSS WIN 10.0 Results: a) Mean score for self-care behavior was 2.9 (of a possible 4.0), for general self-efficacy, 3.2 (of a possible 5.0), for specific self-efficacy 3.5 (of a possible 5), and for family support, 3.7 (of a possible 5). Family support generally showed the most positive results. b) Occurrence of peritonitis was not affected by general characteristics. c) There was a significant difference in the occurrence of peritonitis in terms of self-efficacy. Patients with peritonitis had lower self-efficacy than those who did not. 4) Of the four factors reviewed in relation to peritonitis, only self-efficacy was statistically significant: an increase in self- efficacy by 1 point increased the occurrence of peritonitis by 0.90. Conclusion: Among the four factors potentially affecting peritonitis in CAPD patients, general self-efficacy was found to be the main factor influencing the occurrence of peritonitis.

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Three Cases of Meconium Peritonitis (태변성 복막염 3례)

  • Lee, Young-Hwan;Ahn, Soo-Ho;Shin, Son-Moon;Huh, Young-Soo
    • Journal of Yeungnam Medical Science
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    • v.8 no.1
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    • pp.191-197
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    • 1991
  • Meconium peritonitis is an aseptic peritonitis caused by spill of meconium in the abdominal cavity through one or several intestinal perforations which have taken place during intrauterine life or early neonatal life. We experienced three cases of meconium peritonitis with ileal perforation in two cases 1 day-old male neonate and 2 day-old male neonate, respectively, which had the chief complaint of vomiting and abdominal distension, Literatures are reviewed, briefly.

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A Case of Peritoneal Dialysis-related Peritonitis Caused by Aeromonas Hydrophila in the Patient Receiving Automated Peritoneal Dialysis

  • Kim, Hyun Jin;Park, Hyun Sun;Bae, Eunsin;Kim, Hae Won;Kim, Beom;Moon, Kyoung Hyoub;Lee, Dong-Young
    • Electrolytes & blood pressure
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    • v.16 no.2
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    • pp.27-29
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    • 2018
  • Peritoneal dialysis (PD)-related peritonitis is a major cause of injury and technique failure in patients undergoing PD. Aeromonas hydrophila is ubiquitous in the environment, and is a Gram-negative rod associated with infections in fish and amphibians in most cases; however, it can also cause opportunistic infections in immunocompromised patients. We report a case of A. hydrophila peritonitis in a 56-year-old male on automated PD. Peritonitis may have been caused by contamination of the Set Plus, a component of the automated peritoneal dialysis device. Although Set Plus is disposable, the patient reused the product by cleansing with tap water. He was successfully treated with intraperitoneally-administered ceftazidime and has been well without recurrence for more than 2 years.

A Case of Continuous Ambulatory Peritonitis Dialysis Peritonitis Due to Stenotrophomonas maltophilia Using Antibiotic Combination (항생제 병용요법으로 치료한 Stenotrophomonas maltophilia 복막투석 복막염 1예)

  • Ko, Hee Sung;Choi, Ah Ran;Kim, Tae Hoon;Kyung, Chan Hee;Cho, Jang Ho;Kim, Yong Hoon;Lee, Jung Eun
    • Journal of Yeungnam Medical Science
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    • v.30 no.2
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    • pp.109-111
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    • 2013
  • Continuous ambulatory peritoneal dialysis (CAPD) peritonitis is a major complication of peritoneal dialysis (PD) and leads to the discontinuation of PD. Despite its limited pathogenicity, CAPD peritonitis caused by Stenotrophomonas maltophilia (S. maltophilia), an important nosocomial pathogen that is present in nature and is usually associated with plastic indwelling devices. Infection of S. maltophilia is associated with a poor prognosis, including inability to maintain the CAPD catheter, because of its resistance to multiple antibiotics. We report a case of CAPD peritonitis due to S. maltophilia that was treated successfully using oral Trimethoprim-sulfamethoxazole and intraperitoneal Ticarcillin/clavulanate without removing the dialysis catheter.

A Case of Vancomycin-Resistant Enterococci Peritonitis in a Pediatric Patient on CAPD Successfully Treated with Linezolid (지속성 외래 복막투석 소아에서 리네졸리드로 치료한 반코마이신 내성 장구균 복막염 1례)

  • Baek, Seung-Ah;Park, Sung-Sin;Kim, Sung-Do;Cho, Byoung-Soo
    • Childhood Kidney Diseases
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    • v.12 no.2
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    • pp.245-249
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    • 2008
  • Peritonitis is one of the major complications of CAPD(continuous ambulatory peritoneal dialysis). Recently, multidrug-resistant organisms, such as vancomycin-resistant enterococcus(VRE) have been rarely reported by the pathogen as of CAPD-associated peritonitis. But, there is limited information on choices of effective therapy for VRE peritonitis in patients undergoing CAPD. We present a pediatric case of successful treatment of CAPD-associated peritonitis due to VRE with linezolid, and review of the literature.

Primary Pneumococcal Peritonitis in a Healthy Child (건강한 소아에서 발생한 원발성 폐렴구균성 복막염 1례)

  • Yang, Jeong-Soo;Lee, Min-Hae;Choi, Myoung-Bum;Park, Chan-Hoo;Woo, Hyang-Ok;Youn, Hee-Shang
    • Pediatric Gastroenterology, Hepatology & Nutrition
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    • v.5 no.1
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    • pp.83-87
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    • 2002
  • Primary peritonitis usually refers to a bacterial infection of the peritoneal cavity without a demonstrable intra-abdominal source. Most cases occur in children with ascites resulting from nephrotic syndrome or cirrhosis. Rarely, it may occur in previously healthy children less than 7years of age, usually a girl. Distinguishing primary peritonitis from appendicitis may be impossible in patients without a history of nephrotic syndrome or cirrhosis. Accordingly, the diagnosis of primary peritonitis is made only at laparotomy. We report one case of primary pneumococcal peritonitis in a 27-month-old female who underwent explorative laparotomy to discover the cause of suspicious intestinal perforation and mechanical ileus. Later, pneumococci were cultured in blood and gram-positive diplococci were isolated from the pus of peritoneal cavity.

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A Case of Tuberculous Peritonitis Diagnosed by Colonoscopic Biopsy (대장 내시경 생검으로 진단된 결핵성 복막염 1례)

  • Park, Hye Jin;Lee, Su Min;Kim, Sun Mi;Jeong, Dae Chul;Chung, Seung Yeon;Kang, Jin Han
    • Pediatric Infection and Vaccine
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    • v.11 no.1
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    • pp.131-135
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    • 2004
  • Tuberculous peritonitis is a rare cause of intra-abdominal infection. Although sometimes asymptomatic, most of the patients have fever, weight loss, abdominal pain, and edema. The diagnosis of tuberculous peritonitis is difficult and sometimes delayed because of confusion of the disease with other illnesses and the non-specificity of signs and symptoms. Tuberculous peritonitis is examined with ultrasonography and computerized tomogram, but confirmed by biopsy or tuberculosis culture. Ascitic fluid is exudates with a lot of lymphocytes and elevated protein. Tuberculous peritonitis is treated successfully with isoniazid, rifampicin for one year, pyrazinamide for first 2 months and streptomycin for first one month. We experienced one case of tuberculous peritonitis with transudate of ascitic fluid, confirmed by biopsy using colonoscopy, and treated successfully.

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Generalized Meconium Peritonitis Diagnosed with Antenatal Ultrasonography (산전 초음파검사로 진단된 범발성 태변성 복막염 2예보고)

  • Kim, Soong-Chul;Hwang, Shin;Yoo, Shi-Joon;Kim, In-Koo
    • Advances in pediatric surgery
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    • v.1 no.1
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    • pp.59-62
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    • 1995
  • Meconium peritonitis is defined as an aseptic, chemical or foreign-body peritonitis caused by spill of meconium in the abdominal cavity related to the prenatal perforation of the intestine. Perforation is usually caused by obstruction from meconium ileus, intestinal atresia, stenosis, volvulus, internal hernia, congenital peritoneal bands, intussusception, or gastroschisis. Less commonly, no evidence of distal obstruction exists. Here, we present two cases of generalized meconium peritonitis of antenatal diagnosis. The first case, detected at 8 months of gestational age, had a perforation of the proximal blind pouch of jejunal atresia, associated with respiratory distress due to severe abdominal distension. This case was successfully treated with resection and anastomosis and brief period of postoperative ventilatory support. The second case had a distal ileal perforation with thick meconium in the terminal ileum. In this case, there was no dilatation of ileum proximal to the perforation site. Resection and anastomosis was performed and postoperative course was uneventful.

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