Chronic Loculated Peritonitis with Fecal Drainage

Cassandra Levitske, Ugochi Nwokafor and Arjun Patel

Department of Pediatrics, Pediatrics Clinic of Dr. Beesley, USA

^*Correspondance to: Arjun Patel 

 PDF  Full Text Case Report | Open Access

Abstract:

A 78-year-old Hispanic female with a past medical history of cryptogenic cirrhosis with ascites and congestive heart failure presented to the emergency department with abdominal pain after a fall. Patient went through multiple paracentesis procedures to remove fluid. Once Streptococcus and Bacteroides fragilis were found positive in the cultures obtained from the paracentesis, exploratory laparotomy was done to determine source infection however yielded no new additional findings. Post-operation, patient was found to have fecal matter draining in her pigtail catheter and right Jackson-Pratt drain from her abdomen, possibly due to enteric fistula formation. Patient continued to have ascites and fecal matter drainage despite interventions and antibiotics, leading to a diagnosis of chronic peritonitis.

Keywords:

Chronic peritonitis; Peritonitis; Cryptogenic cirrhosis

Cite the Article:

Levitske C, Nwokafor U, Patel A. Chronic Loculated Peritonitis with Fecal Drainage. Ann Clin Case Rep. 2020; 5: 1883.