| Theme |
Diagnosis and Treatment of Intestinal Obstruction: Timing in Consulting a Surgeon |
| Title |
Paralytic Ileus Associated with Pelvic Peritonitis |
| Author |
Satoru Inoue |
Department of Surgey, Tokyo Metropolitan Bokutoh Hospital |
| Author |
Hiroshi Takenaga |
Department of Gynecology, Tokyo Metropolitan Bokutoh Hospital |
| [ Summary ] |
Thirty one cases of pelvic peritonitis, including twenty eight with pelvic inflammatory disease (PID), two with appendicitis, and one with penetration of the sigmoid colonic diverticulitis were retrospectively reviewed. Paralytic ileus occurred in 21 cases (68%) with 6 cases (19%) being extensive, and three resulting from PID. All three patients with pelvic peritonitis due to appendicitis and penetration of the sigmoid colonic diverticulitis presented severe paralytic ileus. These findings suggest that PID, which is often complicated by localized paralytic ileus, rarely causes extensive problems, and that surgical indications for appendicitis or intestinal diseases should be considered when severe paralytic ileus is observed in cases of pelvic peritonitis. |