Acute Suppurative Peritonitis Gu Yan Department of General Surgery Less omentum Stomach Omental bursa Greater omentum Omental foramen Pancreas Duodenum Mesentery of small intestine Rectouterine pouch Vesicouterine pouch Anatomy of peritoneal cavity Anatomy of peritoneal cavity Peritoneum---parietal peritoneum ---visceral peritoneum Peritoneal cavity in man and woman Nerve innervation of the peritoneum Acute suppurative Peritonitis Definition of peritonitis Classification of peritonitis Bacterial and nonbacterial peritonitis Acute, subacute and chronic peritonitis Primary and secondary peritonitis Diffuse and local peritonitis Secondary peritonitis What is secondary anisms in secondary peritonitis Escherichia coli anaerobic bacteroid us proteus species Secondary peritonitis Causes of secondary peritonitis: Perforation of gastrointestinal tract or rupture from injuries in the abdominal wall or the intraabdominal viscera Diffuse spreading of the intraabdominal infection within the peritoneal cavity, etc. Common causes of peritonitis Acute cholecystitis Meckel’s Diverticulitis Case report Primary peritonitis What is primary peritonitis : Diffuse bacterial infection without an apparent intraabdominal source of anisms in primary peritonitis us, hemolytic us, E coli, etc.