All issues > Volume 19(6); 1976

Case Report

J Korean Pediatr Soc. 1976;19(6):421-424. Published online June 30, 1976.

A case of primary peritonitis

Jae Song Kim¹, Jung Sang Oh¹, Seockoo Bai¹, Dong Gwan Han¹, Seung Kock Son², Eui Ho Hwang²

¹Department of Pediatrics, Yonsei University College of Medicins
²Department of Surgery,Yonsei University College of Medicine Seoul,Korea

Abstract

A 2 month old male infant was admitted to Severance hospital due to bile stained vomiting; and abdominal distention for 2 days via emergency room. On physical examination, acutely ill appearance with lethargy, subnormal temperature, sunken fontanel, dry mouth, coated tongue, abdominal distention, and absent bowel sounds were noted and clinical impression could not be ruled out paralytic ileus due to sepsis. On the radiologic finnings of flat and upright abdomen, gaseous distention of small and large bowels and multiple air-fluid levels were noted. And barium enema study revealed normal findings. The operation was performed and pus of intra-abdominalcavity was noted without any evidence of perforation or abscess of intra abdominal organs. Peptostreptococcus productus was isolated from the pus culture as the causative pathogenic organism. After operation, wound infection, wound dehiscence, and fecal fistula were complicated, but on discharge the complicated lesions were almost healed.

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