version ISSN 1029-3019
Causes, treatment and complications of the diffuse peritonitis in a hospital of Luanda periphery. MEDISAN [online]. 2010, vol.14, n.8, pp. 1076-1082. ISSN 1029-3019.
A descriptive, longitudinal and retrospective study of 34 patients with secondary diffuse peritonitis, extended to the 4 quadrants of the peritoneal cavity, surgically treated in the General Hospital of Luanda was carried out from August, 2008 to July, 2009. The most frequent causal affections were the typhic perforations (in which enterorrhaphy was used) and the acute appendicitis, the most common postoperative complication turned out to be the suture dehiscence. In the case material, 6 of its members experienced reinterventions and 5 died. The intestinal perforation is a serious complication of the typhoid fever whose frequency is increased in endemic areas and it can be the first cause of acute diffuse or sistemic peritonitis.
Keywords : acute diffuse peritonitis; typhoid fever; typhic perforation; enterorrhaphy; suture dehiscence; postoperative mortality; Angola.