[Acute abdomen in the puerperium]

Reporting 6 cases as examples the problems of symptoms and diagnosis of peritonitis in puerperium are discussed. Main source of the peritonitis is the ascending of pathogenic germs. The unknown bacteriologic vaginal milieu and the behaviour of the physician associated with caesarean section and premature rupture of the membranes play an important role for developing a peritonitis. Laparotomy with removing of uterus in time is the singlest method to rescue life threatening maternal situations.