Doenças Infecciosas Clínicas: Acesso Aberto

Diffuse Pain Abdomen in a Healthy Young Female – A Rare and Unusual Case

Abstract

Sweety Kumari, Aishwarya Murlidharan, Bindu Prakash and Minakshi Dhar*

Primary peritonitis in a healthy young adult has become quite a rare entity in this modern antibiotic era. A case of a 25 years old healthy woman with primary pyoperitonis has been discussed here, who had presented to us with complaints of abdominal pain, high-grade fever and vomiting for a week and subsequently she developed gradual decrease in urine output and generalized edema for last 3 days. Abdominal examination revealed diffuse tenderness and guarding, a diagnosis of primary peritonitis was made based on abdominal imaging and later, fluid analysis and culture reports suggested it to be a case of pyo-peritoneum. Quick diagnosis and prompt management saved her life. Unnecessary delay could have detrimental in such case scenario. High index of suspicion and prompt management is necessary to prevent surgical intervention and death.