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[Ulcero-necrotic enterocolitis complicated by peritonitis]
Vestnik Khirurgii Imeni I. I. Grekova
|November 1, 1983
Insights
Peritonitis from segmentary enteritis or colitis is severe and deadly. Prompt surgical resection of necrotic bowel segments is crucial for patient survival.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Abdominal Surgery
Context:
- Acute peritonitis is a critical surgical emergency.
- Segmentary enteritis and colitis can precipitate severe peritonitis.
- This specific etiology presents unique diagnostic and management challenges.
Purpose:
- To describe the clinical characteristics of peritonitis secondary to segmentary enteritis or colitis.
- To outline optimal surgical strategies for this severe condition.
- To highlight the high mortality associated with this peritonitis variant.
Summary:
- A study of 217 acute peritonitis patients identified 12 cases linked to segmentary enteritis or colitis.
- This peritonitis form is marked by extreme severity, rapid progression, and high mortality rates.
- Surgical management involves one-step resection for small intestine necrosis and two-step operations for colonic necrosis.
Impact:
- Highlights the critical nature of prompt surgical intervention in specific peritonitis cases.
- Informs surgical decision-making for necrotic bowel segments secondary to enteritis or colitis.
- Emphasizes the need for early recognition and aggressive management to reduce mortality.
Abstract:
Among 217 patients with acute peritonitis there were 12 patients with the peritonitis developed against the background of segmentary enteritis or colitis. The article describes this form of peritonitis characterized by great severity, rapid development and high death rate. On the detection of a necrotic segment of the small intestine, a one-step resection within the limits of healthy tissues is indicated. Two-steps operations are expedient for necrosis of the colon.