Munihire JB1,2*, Matungulu JN3, Ali A1, Muhumuza J1, Muhindo MV4 and Sikakulya F1,4
1Department of Surgery, Kampala International University Western Campus, Uganda
2Department of Medicine, Université Catholique la Sapientia de Goma, Congo
3Department of Medicine, University of Goma, Congo
4Department of Medicine, Université Catholique du Graben, Congo
Background: Tertiary Peritonitis (TP) is defined as a severe recurrent or persistent intra-abdominal infection after adequate surgical source control of Secondary Peritonitis (SP). The aim of this study was to clarify the value of routinely used diagnostic parameters and early outcome after relaparotomy in patients with tertiary peritonitis. Patients and Methods: A retrospective study was conducted from 2018 to 2021. Baseline characteristics of admission, outcomes, laboratory results, and antibiotic therapy were recorded for analysis. Results: Among 25 patients with secondary peritonitis, 8 (32%) developed tertiary peritonitis. Almost two-thirds (62.5%) were female; mean age was 32 years, 12.5% were with hypertension and 37.5% of patients were on steroids. Retroperitoneal abscess was the most frequent cause of intraabdominal infection in 37.5%, in-hospital mortality was 25% and 37.5% of patients had a length of hospital stay more the 50 days. Conclusion: It is desirable to have timely, diagnosis of TP and subsequent initiation of an appropriate therapy to improve outcome. Understanding and recognizing risk factors, may potentially help to identify patients with SP at risk for development of TP and possibly prevent it from happening.
Case series; Tertiary peritonitis; Literature review; Severe sepsis; Diagnosis and treatment
Munihire JB, Matungulu JN, Ali A, Muhumuza J, Muhindo MV, Sikakulya F. Tertiary Peritonitis, Severe Sepsis Needs Early Diagnosis and Treatment in Countries with Limited Resources: A Case Series. Ann Surg Case Rep. 2023; 6(4): 1083..