Peritoneal irritation sign

Introduction Abdominal tenderness, rebound tenderness and abdominal muscle tension are the main signs of abdominal organ rupture, which is a sign of peritoneal irritation. It can be caused by abdominal infection, perforation, obstruction, visceral injury and other causes. The peritoneum is rich in nerves and blood vessels. The patient is generally characterized by severe pain that the abdomen can hardly endure, sweating, high fever, weakness, and speechlessness. A variety of diseases can cause peritoneal irritation, the onset is urgent, the vast majority can be cured, and very few can die due to treatment failure.

Cause

Causes

A variety of diseases can cause peritoneal irritation:

1, can lead to peritoneal inflammation, such as perforation of hollow organs, digestive juice into the abdominal cavity, trauma, infection and so on.

2, abdominal distension and low back pain, hemorrhagic shock, abdominal muscle tension and rebound tenderness, the bowel sounds weakened or disappeared in the abdomen.

3, spinal and pelvic trauma, should consider the possibility of retroperitoneal hematoma.

an examination

Related inspection

Abdominal shape palpation abdominal perspective abdomen auscultation abdominal CT peritoneal lavage test

Symptoms and signs:

The patient is usually characterized by severe pain that is unbearable in the abdomen, sweating, high fever, weakness, and non-verbal symptoms. Abdominal palpation resistance, depression, chest breathing, elevated body temperature, decreased appetite, and sometimes vomiting symptoms.

Differential diagnosis

Identification

1. Acute peritonitis refers to acute inflammation of the peritoneum. Commonly found in the clinic is secondary, bacterial, diffuse peritonitis, often referred to as acute peritonitis.

2. Secondary peritonitis is mostly caused by inflammation, perforation, surgical complications or rupture of the intra-abdominal organs.

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