Abstract
Primary peritonitis is a clinical entity rarely encountered by practicing pediatric surgeons today, although intervention for the diagnosis and treatment is occasionally required. Typically, it develops in the context of a recognized predisposing factor, including underlying hepatic or renal dysfunction or the presence of an indwelling catheter. Occasionally, primary peritonitis may be encountered in the context of a patient without an overt predisposition. An astute clinician must recognize the possibility of an index presentation of familial Mediterranean fever (FMF) or systemic lupus erythematosus (SLE), when clinical presentation is inconsistent with a cause of more conventional secondary peritonitis; failure to do so can result in unnecessary interventions and morbidity.
References
Alwadhi RK, Mathew JL, Roth B. Clinical profile of children with nephrotic syndrome not on glucocorticoid therapy but presenting with infection. J Pediatr Child Health. 2004;40:28–32.
Bakkaloglu SA, Warady BA. Difficult peritonitis cases in children undergoing chronic peritoneal dialysis: relapsing, repeat, recurrent and zoonotic episodes. Pediatric Nephrology. 2015 Sep 1;30(9):1397–406.
Calligaris L, Marchetti F, Tommasini A, et al. The efficacy of anakinra in an adolescent with colchicine-resistant familial Mediterranean fever. Eur J Pediatr. 2008;167:695–6.
Clark JH, Fitzgerald JF, Kleiman MB. Spontaneous bacterial peritonitis. J Pediatr 1984;104 (4):495–500.
Chung HT, Haung JL, Wang HS, et al. Dermatomyositis and polymyositis in childhood. Zhomghua Min Guo Xiao Er Ke Yi Xue Hui Za Zhi. 1994;35(5):407–14.
Conn HO. Spontaneous peritonitis and bacteremia in Laennec’s cirrhosis caused by enteric organisms. Ann Int Med. 1964;60:568–80.
d’Annunzio E, Chafai N, Tiret E. Piège de la fièvre méditerranéenne familiale: occlusion intestinale aiguë sur adhérence péritonéale primaire. J Visc Surg. 2011;148(3):248–50.
Dann PH, Amodio JB, Rivera R, et al. Primary bacterial peritonitis in otherwise healthy children: imaging findings. Pediatr Radiol. 2005;35:198–201.
Doershuk CF, Stern RC. Spontaneous bacterial peritonitis in cystic fibrosis. Gut. 1994;35:709–11.
Ein SH. Primary peritonitis. In: Welch KJ, Randolph JG, editors. Pediatric surgery. 4th ed. Chicago: Year Book; 1986. p. 976.
Ein SH, Miller S, Rutka JT. Appendicitis in the child with a ventriculo-peritoneal shunt: a 30-year review. J Pediatr Surg. 2006;41:1255–8.
El-Hakim Allam AA, Eltaras SM, Hussin MH, et al. Diagnosis of spontaneous bacterial peritonitis in children using leukocyte esterase reagent strips and granulocyte elastase immunoassay. Clin Exp Hepatol. 2018;4(4):247–52.
Fathalla B, Shah R, Goldsmith D. Peritonitis as the primary manifestation at onset of childhood systemic lupus erythematosus. J Clin Rheumatol. 2010;16:43–4.
Fowler R. Primary peritonitis: changing aspects 1956-1970. Aust Pediatr J. 1971;7:73–83.
Furth SL, Donaldson LA, Sullivan EK, et al. Peritoneal dialysis catheter infections and peritonitis in children: a report of the North American pediatric renal transplant cooperative study. Pediatr Nephrol. 2000;15:179–82.
Garcia-Tsao G, Conn HO, Lerner E. The diagnosis of bacterial peritonitis: comparison of pH lactate concentration and leukocyte count. Hepatology. 1985;5:91–6.
Gaskill SJ, Marlin AE. Spontaneous bacterial peritonitis in patients with ventriculoperitoneal shunts. Pediatr Neurosurg. 1997;36:115–9.
Gillespie RS, Hauger SB, Holt RM. Primary group A streptococcal peritonitis in a previously healthy child. Scand J Infect Dis. 2002;34:847–8.
Glatstein M, Constantini S, Scolnik D, et al. Ventriculoperitoneal shunt catheter protrusion through the anus: case report of an uncommon complication and literature review. Childs Nerv Syst. 2011;27(11):2011–4.
Granat M, Tur-Kaspa I, Zylber-Katz E, Schenker JG. Reduction of peritoneal adhesion formation by colchicine: a comparative study in the rat. Fertil Steril. 1983;40:369–372.
Harken AH, Shochat SJ. Gram-positive peritonitis in children. Am J Surg. 1973;125:769–72.
Keswani M, Redpath Mahon AC, Richardson T, et al. Risk factors for early onset peritonitis: the SCOPE collaborative. Pediatr Nephrol. 2019;34(8):1387–94.
Kuizon B, Melocoton TL, Holloway M, et al. Infections and catheter related complications in pediatric patients treated with peritoneal dialysis at a single institution. Pediatr Nephrol. 1995;9(Suppl):S12–7.
Kumar M, Ghunawat J, Saikia D et al. Incidence and risk factors for major infections in hospitalized children with nephrotic syndrome. J Bras Nefrol. 2019;41(4):526–533. pii: S0101-28002019005028101.
Lane JC, Warady BA, Feneberg R, et al. Relapsing peritonitis in children who undergo chronic peritoneal dialysis: a prospective study of the international pediatric peritonitis registry. Clin J Am Soc Nephrol. 2010;5:1041–6.
Leonis MA, Balistreri WF. Evaluation and management of end-stage liver disease in children. Gastroenterology. 2008;134:1741–51.
Matsell DG, Wyatt RJ. The role of I and B in peritonitis associated with the nephrotic syndrome of childhood. Pediatr Res 1993;34:84–8.
Milner LS, Berkowitz FE, Ngwenya E, et al. Penicillin resistant pneumococcal peritonitis in nephrotic syndrome. Arch Dis Child. 1987;62:964–5.
Moskovitz M, Ehrenberg E, Grieco R, et al. Primary peritonitis due to group A streptococcus. J Clin Gastroenterol. 2000;30:332–5.
Padeh S, Livneh A, Pras E, et al. Familial Mediterranean fever in the first two years of life: a unique phenotype of disease in evolution. J Pediatr. 2010;156:985–9.
Richer O, Ulinski T, Lemelle I, et al. Abdominal manifestations in childhood-onset systemic lupus erythematosus. Ann Rheum Dis. 2007;66:174–8.
Runyon BA, Umland ET, Merlin T. Inoculation of blood culture bottles with ascitic fluid: improved detection of spontaneous bacterial peritonitis. Arch Intern Med. 1987;147:73–5.
Serlo W, Heikkinen E, Kouvalainen K. Group A streptococcal peritonitis in infancy. Ann Chir Gynaecol. 1985;74:183–4.
Uncu N, Bülbül M, Yıldız N, et al. Primary peritonitis in children with nephrotic syndrome: results of a 5-year multicenter study. Eur J Pediatr. 2010;169:73–6.
Vinchon M, Dhellemmes P. Abdominal complications of peritoneal shunts. In: Pediatric hydrocephalus. Milan: Springer; 2005. p. 315–27.
Warady BA, Feneberg R, Verrina E, et al. Peritonitis in children who receive long-term peritoneal dialysis: a prospective evaluation of therapeutic guidelines. J Am Soc Nephrol. 2007;18:2172–9.
Warady BA, Bakkaloglu S, Newland J, et al. Consensus guidelines for the prevention and treatment of catheter-related infections and peritonitis in pediatric patients receiving peritoneal dialysis: 2012 update. Perit Dial Int. 2012;32(Suppl 2):S32–86.
Wong GK, Goldacker S, Winterhalter C, et al. Outcomes of splenectomy in patients with common variable immunodeficiency (CVID): a survey of 45 patients. Clin Exp Immunol. 2013;172(1):63–72.
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Baird, R., Laberge, J.M. (2020). Primary Peritonitis. In: Puri, P. (eds) Pediatric Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38482-0_111-1
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DOI: https://doi.org/10.1007/978-3-642-38482-0_111-1
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