The conservative surgery of the uterus and its adnexa in gonococcal pelvic peritonitis was for many years looked upon with disfavor by surgeons.
Caseaux discovered tubercular peritonitis in a woman who had died after a diagnosis of hyperemesis gravidarum; Beau, tubercular meningitis in a like case.
When appendicitis goes on to suppuration and perforative peritonitis the condition is worse in pregnant women than in the non-pregnant.
Pus may rupture into the pelvic cavity and set up local or general peritonitis or septicemia.
In operations for pelvic peritonitis it is well to remove also the appendix, because it is nearly always diseased, or it will give trouble from adhesions later and cause a secondary operation.
Williams of Johns Hopkins University, in the 1903 edition of his Obstetrics, tells of a woman who died of tuberculous peritonitis a short time after parturition.
In cases of chronic pelvic peritonitis the question comes up frequently whether the womb and both tubes and ovaries should be removed wholly or in part.
In most cases of pelvic peritonitis the uterus is retrodisplaced, and this position prevents cure until it is corrected.
Since emboli are frequently lodged near the surfaces of organs, a septic pleurisy, pericarditis, orperitonitis is the usual result of the dissemination of the virus contained in the embolus.
Peritonitis resulting from other causes than perforation of the intestine does not require any modification of the above treatment.
Peritonitis is present in hardly one-third of the cases.
In the so-called peritonitis lymphatica the inflammatory symptoms are at the outset lacking.
In susceptible patients and in localized inflammations the quantity required may not be very great, while in acute generalperitonitis the tolerance of the drug exhibited by puerperal women is sometimes extraordinary.
Peritonitis is a very serious complication, whether due to perforation or to some other cause.
Peritoneal effusion is absent in cases which run a rapid course, and is distinctly recognizable only in a peritonitis of long continuance.
If nothing is done, death from the septic poisoning of peritonitis is almost certain.
As his remarks suggest, a parasite that can produce both pneumonia and peritonitis is not a creature that either the physician or the sanitarian can afford to ignore.
The trouble with peritonitisis that it don't get well as fast as it looks to.
The name of peritonitis did not impress the young wife with any importance when the old doctor warned her to lie still and rest.
Hugh had the daily fear of her peritonitis coming back upon her; Doctor Morgan had warned him while John was away.
A slight thing will often start it up anew, and peritonitis is the devil if it gets to recurring.
Should peritonitis supervene after the operation on account of bacillary infection, the bowels should be quickly made to act by repeated doses of Epsom salts in hot water.
When an irreducible hernia becomes painful and tender, a local peritonitis has occurred, which resembles in many of its symptoms a case of strangulation, and must be regarded with suspicion and anxiety.
This tympanites cannot be from peritonitis for perforation would be necessary to cause it and nothing would stop the progress after it had once started except to open the cavity wash and drain.
If the parts have become softened, which they do by the inflammation, there is danger of perforation and an escape of the contents of the bowels into the peritoneal cavity, after which diffuse peritonitis and death follow.
If the pulse of either the merchant or the farmer had been due to peritonitisdeath would have ended either one before his abscess had broken.
The peritoneal cavity, or the peritoneum as an organ, was not involved in this disease; hence it is an error to say that there was diffuse peritonitis which was at once relieved by the rupturing of the abscess into the intestine.
A perforation causing diffuse peritonitis so early would have a higher pulse and temperature, and death would have followed within a few hours.
Moreover, the bacterial finding of streptococci and cold bacilli in the perityphlitic abscess is typical, and the limitation of the diffuse peritonitis to areas below the omentum is also instructive.
Proof positive that there was no peritonitis yet, and the indicating symptoms were those of opium.
With a sharply circumscribed perityphlitic abscess there could be no doubt of the diagnosis of diffuse peritonitis nor of the indication for operation on account of the long continuance of the severe symptoms.
When the peritonitis has subsided and the constitutional condition warrants, operation may be performed with a much better prognosis.
When there is perforation of the appendix the result is peritonitis according to some authors, and, according to others just as great, this is disputed I belong to the latter class in belief.
It shows us that the origin of peritonitis which is by far the most common, is in a diseased appendix.
Tubercular peritonitis may be primary or secondary, acute or chronic; occasionally very acute cases are seen running a rapid course; the majority are chronic in type.
Peritonitis in the horse is mostly fatal when it is at all extensive.
Peritonitis is an inflammation of the serous membrane lining the cavity of and covering the viscera contained within the abdomen.
Peritonitis is often caused by injuries, as punctured wounds of the abdomen, severe blows or kicks, or, as is still more common, following the operation of castration.
The abdominal cavity may show peritonitisand a hemorrhagic condition of the intestines, which probably result from overfeeding in consequence of the ravenous appetite.
Peritonitis may arise secondary to the enteric edema, or by perforation of the stomach or intestines by a gangrenous spot.
The pulse in peritonitis is rather characteristic; it is quickened, beating from 70 to 90 beats a minute, and is hard and wiry.
Peritonitis occurs from perforation of the bowel in typhoid fever also, and it frequently occurs after appendicitis and sometimes after confinement.
General peritonitis may be caused by direct perforation of the appendix and death in appendicitis is usually due to peritonitis.
In Peritonitis the tongue is generally dry and red (beefy).
It may occur like acute peritonitis with sudden onset of high fever, pain, tenderness, bloating, vomiting and constipation; these symptoms passing into those of chronic peritonitis.
Peritonitis may accompany acute infections or accompany chronic nephritis, rheumatism, pleurisy, tuberculosis and septicemia.
There is inflammation of the vagina accompanying it in about fifteen per cent of the cases, while inflammation of the fallopian tubes, pus in the tubes, and local peritonitis are common results.
There is no obvious tumour; constipation is present, the abdominal walls are flaccid at first, but if no relief is obtained become tender when peritonitis ensues.
Peritonitis also ensues, and by the formation of adhesions between the serous coats of the entering and returning parts leads to irreducibility of the intussusception.
An exploratory operation should be undertaken for the excision of the tumour, or the separation of adhesions and release of the bowel, or if the intestines are much matted together by peritonitis an intestinal anastomosis may give relief.
When once present, plastic peritonitis fixes the coil in position and the blood supply becomes obstructed.
To destroy this without causing peritonitis is the aim of the surgeon, and it is not an easy matter to accomplish.
We should endeavour to avoid opening the sac in cases of old scrotal hernia of large size, where the symptoms have not been urgent, especially in large unhealthy hospitals, as the risk of peritonitis is so great.
There are certainly great risks attending it of peritonitis and urinary infiltration.
The risks of the operation are peritonitis and wounding of one or both ureters or the bladder wall.
The chief risks of oöphorectomy for inflammatory conditions are undetected injury to bowel, especially the rectum, and septic peritonitis when the streptococcus is present in the tubes in acute cases.
Fatal peritonitis soon brings on a state of painful uneasiness ill adapted to the proper dispositions for the Sacraments.
In cancer of the stomach, peritonitis from perforation of the stomach may close the scene.
For the peritonitis that sometimes results from appendicitis there is no hope of recovery except by operation.
They are always followed by symptoms of peritonitis and the condition of intense prostration which this brings on.
People died of inflammation of the bowels and peritonitis then; and as the appendix was not known as the origin of the trouble, the fateful name was not the spectre that it is now.
Peritonitis and valvular diseases of the heart are also responsible for ascites, and chronic pulmonary affections may impair the portal circulation to the extent of producing it.
If chronic peritonitisbe connected with the tubercular diathesis, tubercles may be discovered upon the surface of the stomach and alimentary canal, and may also be found in the lungs and brain.
As acute peritonitis is always a grave disease, involving more or less danger to life, it is the wisest course to employ a physician and trust the case to his management.
By these means, I fully believe, numbers have already been saved from the fatal consequences of peritonitis caused by perityphlitis and perforation of the vermiform appendix--some under my own observation and others under that of my friends.
Neglected or unrecognized cases, however, are not infrequently fatal from the circumscribed or more especially diffuse peritonitis which may ensue.
During the peritonitis a false membrane was effused on the pelvic viscera in situ.
If," says Eustace Smith, "these veins are seen to ramify on the abdominal surface and to join the veins on the thoracic walls, tabes may be suspected in the absence of chronic peritonitis and enlargement of the liver.
In a few hours symptoms of peritonitis were manifest, and she died.
The treatment of puerperal peritonitis is not allotted to me, and I am very reluctent to encroach in any degree on the province of the very competent and highly-esteemed gentleman to whom that disease was assigned.
The possibility of mistaking gastric cancer accompanied with peritoneal exudation for cirrhosis of the liver or for tubercular peritonitis is also to be borne in mind.
He says that the operation is not contraindicated by existing peritonitis if the patient is not already in a state of collapse or sepsis.
After peritonitis or enteritis begins, progress toward a fatal issue is very rapid, the patient rarely living more than three or four days.
Pelvic peritonitis means that the peritoneum of the entire pelvic cavity is involved in the inflammatory process.
In view of the possibility of any local or circumscribed peritonitis becoming general, and as such may prove fatal, the importance of recognizing it in its first stage, or early, becomes readily apparent.
Preventive measures of circumscribed or local peritonitis are to be found in avoiding the causes that have been referred to as inducing the affection under consideration, among which, criminal abortions are the most fruitful.
Old pelvic adhesions and exudations as a result of pelvic cellulitis or peritonitis are amenable to galvanization after hot douches, sitz baths, and other discussives have failed to excite absorption.
Inflammation of the uterus and a discharge of blood or matter through the tubes and into the peritoneal cavity, may bring about a chronic pelvic peritonitis from the beginning.
I cannot imagine an ovaritis without at least a circumscribed peritonitis, and one can hardly suppose a pelvic peritonitis to exist without in a certain degree compromising the ovary.
In punctured and incised wounds the urine escapes more slowly, peritonitis develops less early, and death is longer delayed.
On the following night acute symptoms of peritonitis set in, and she died of it in forty-eight hours.
A similar case is reported by Williamson,[619] where peritonitis resulted from complete rupture of the ileum without any trace of injury externally, though the blow was struck by the hoof of a horse.
In the latter case peritonitis may occur, but is rare.
These cases of injury to the bladder may die suddenly and speedily from shock or from peritonitis in three to seven days, or not until fifteen days or so.
There was no mark on the skin or ecchymosis, though there existed peritonitis from rupture of the small intestine.
Hemorrhage in injury to the bladder is not usually serious; the blood is found partly in the bladder, partly in the pelvis, where the fluid extravasated byperitonitis is also found.
No marks of injury were visible externally, but peritonitis existed from rupture of the ileum.
Henke reported the case of a man who died of peritonitis a few hours after fighting with another man.
She had already had attacks ofperitonitis and hemorrhage, and a urethrovaginal fistula was found.
There were well-marked evidences of peritonitis and cellulitis.
The patient was a man of twenty-three, a seaman, and in a quarrel had been stabbed in the buttocks with a long sailor's knife, with resultant symptoms of peritonitis which proved fatal.
The woman recovered, but died five months later from a second attack of intussusception, the ileum rupturing and peritonitis ensuing.
Slee mentions a case in which, after the death of a man from septic peritonitis following a bullet-wound of the intestines, he found postmortem a knife-blade 5/16 inch in width projecting into the brain to the depth of one inch.
Fatal peritonitis ensued and the spoon was found impacted in the last acute turn of the duodenum.
Peritonitis in the thoracic cavity is a curious condition which may be brought about by a penetrating wound of the diaphragm.
Peritonitis was apparently not present in any of the cases, the urinary extravasation having occurred into the cellular tissue behind the peritoneum.
There were marked signs of peritonitis, and in the absence of sufficient other symptoms, it could be said that this woman had died of peritonitis in the left thoracic cavity.
Signs of acute peritonitis were seen postmortem, the abdominal cavity was full of blood, and the ovary much lacerated.
Michaelis of Kiel gives an instance in which he performed the same operation on a woman four times, with successful issues to both mother and children, despite the presence of peritonitis the last time.
Adele died six hours afterward, and Marie died of peritonitis on the next day.
Fergus mentions a case in which, after this accident, the patient was considered convalescent and was walking about, when, on the seventh day, peritonitis suddenly developed and proved fatal in two days.
The fits of trembling, uneasiness, small and hard pulse, and tension of the left flank are symptoms the presence of which would enable one to reach the conclusion that peritonitis exists.
Peritonitis consists of an inflammation of the peritoneum, which is the thin, delicate membrane that lines the abdomen and covers the abdominal organs.
If peritonitis assumes chronic form the diet should be nutritious, such as selected clover hay, linseed cake, grass, etc.
Peritonitis in rabbits, from inoculation with different morbid secretions.
Barron's statement of the children's dying of peritonitis in an epidemic of puerperal fever at the Philadelphia Hospital (Oct.
Puerperal peritonitis may produce such a poison, and puerperal women may be very sensible to its influences, conveyed by contact or exhalation.
Peritonitis inside a week, and no need for uneasiness at the end of it!
The liquid she took on June 29 brought about the perforation of the ulcerated wall, and this caused the terrible pain in her side and the peritonitis which we have mentioned.
Peritonitis is distinctly indicated by the reports.
The writer had two cases of peritonitis in her flock of turkey hens just around the laying season.
The bad effect of anything like free escape was well shown in multiple perforations; in these suppurative peritonitis rapidly developed and the patients died at the end of thirty-six hours or less.
My only excuse was that the patient at the time I saw him was in a very collapsed state, and a severe grade of abdominal distension suggested that septic peritonitis was already in an advanced stage.
When septic peritonitis was already present, the ordinary procedure of dry mopping, followed by irrigation, was necessary, before closing the belly.
All the symptoms of acute peritonitiswere present.
On the patient's arrival at Wynberg there were signs of local peritonitis in the lower half of the abdomen, and all his urine was passed from the wound in the left thigh.
Cases brought into the Field, or even the Stationary hospitals, with symptoms of moderate severity, or even of an insignificant character, in which evidence of septic peritonitis suddenly developed and death ensued.
The patient again improved, but a fortnight later a swelling and apparent signs of local peritonitis developed in the right inguinal and lower umbilical and lumbar regions.
During the succeeding week some sciatic hyperæsthesia developed, but on the twenty-eighth day the patient developed secondary peritonitis from other causes and died on the thirty-first.
