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[Adhesive peritonitis caused by a foreign body. A case report]
E Brignole1, T Testa, E Squillario
1II Divisione di Chirurgia Generale, Struttura Ospedaliera, Genova-Sampierdarena.
Minerva Chirurgica
|June 1, 1995
Summary
Foreign body reactions can cause adhesive-stenotic peritonitis. This case report highlights the importance of sterile surgical practices and limiting extensive bowel resections, especially in younger patients, to prevent iatrogenic complications.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Abdominal Surgery
Background:
- Peritonitis, characterized by inflammation of the peritoneum, can arise from various causes.
- Adhesive-stenotic and retractile peritonitis is a specific subtype, often linked to foreign body reactions.
- Iatrogenic causes, such as surgical materials, are significant contributors to this condition.
Observation:
- This case report details a patient experiencing adhesive-stenotic and retractile peritonitis.
- The condition was likely induced by a foreign body reaction to surgical materials.
Findings:
- Surgical materials like sutures, gloves, or even residual powder can trigger inflammatory responses leading to peritonitis.
- The investigation reviewed international literature to understand the etiology and presentation of this pathology.
Implications:
- Minimizing iatrogenic causes of peritonitis is crucial for patient safety.
- Recommendations include thorough washing of surgical gloves and judicious performance of extensive bowel resections, particularly in pediatric patients.