Peritonitis is a serious condition that needs immediate medical attention.

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Peritonitis is inflammation of the thin layer of tissue covering the inside of your abdomen and most of its organs. The inflammation is usually the result of a fungal or bacterial infection caused by an abdominal injury, an underlying medical condition, or a treatment device, such as a dialysis catheter or feeding tube.

Peritonitis is a serious condition that needs immediate medical attention. Prompt intravenous antibiotics are needed to treat the infection. Surgery is sometimes necessary to remove infected tissue. The infection can spread and become life-threatening if it isn’t treated promptly.

Causes 

Liver or kidney failure

Abdominal wound or injury

Ruptured appendix

Stomach ulcer

Perforated colon

Diverticulitis

Pancreatitis

Cirrhosis 

Infection of the gallbladder, intestines, or bloodstream

Pelvic inflammatory disease

Invasive medical procedures

Symptoms 

Abdominal tenderness 

Abdominal pain

Abdominal bloating or distention

Nausea and vomiting

Diarrhea

Constipation

Minimal urine output

Anorexia or loss of appetite

Excessive thirst

Fatigue

Fever and chills

Cloudy fluid in peritoneal dialysis patient  

Diagnosis

It can be done through:

Patient medical history

Physical examination including touching or pressing on the abdomen

Complete blood count (CBC) to measure the white blood cell count

Blood culture to identify the bacteria causing the infection or inflammation

Fluid analysis and culturing

Imaging tests to show any perforations or holes in the peritoneum

Treatment

Use of antibiotics to fight infection and medication for pain

Surgical intervention if you have infected bowels, an abscess or an inflamed appendix

Complications

Shock

Hepatic encephalopathy

Hepatorenal syndrome

Sepsis

Intra-abdominal abscess

Gangrenous bowel

Bowel blockage