FATAL PERITONITIS — CAUSES, CONTRIBUTING FACTORS AND DIAGNOSTIC CHALLENGES : AN AUTOPSY CASES STUDY

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dc.contributor.authorLindholm, Marie
dc.contributor.authorFranckeviča, Ivanda
dc.contributor.authorDerovs, Aleksejs
dc.contributor.authorDabuzinskiene, Anita
dc.contributor.authorKleina, Regīna
dc.contributor.institutionDepartment of Pathology
dc.contributor.institutionDepartment of Infectology
dc.date.accessioned2023-09-19T07:55:01Z
dc.date.available2023-09-19T07:55:01Z
dc.date.issued2022-12-10
dc.description.abstractDelayed diagnosis of stomach, intestines, pancreas, and gallbladder diseases plays a significant role in the complicated non-traumatic peritonitis. The aim of the study was to analyse the causes of fatal peritonitis, and contributing factors to mortality and diagnostic discrepancies. A retrospective study of 52 peritonitis cases from selected 1350 autopsy records in three years was done. We analysed age, sex, length of hospital stays, clinical and pathological diagnosis, complications, comorbidities, laboratory values and diagnostic discrepancies. The results were statistically assessed by Excel and IBM SPSS® Statistics version 26. The most common causes of fatal peritonitis were non-oncological gastrointestinal pathologies (26%), malignancies (23%), pancreas and gallbladder (16%), HIV related (10%), vascular (7%) and other diseases (18%). Mean age of patients at death was 65 years. 61.4% were males. Median hospitalisation time was two days. Six patients died outside the hospital. In 17.4% cases misdiagnoses were found. Common situations when misdiagnoses had occurred were intestinal ischaemia, malignancies of various origins and perforation of peptic ulcer. Fatal peritonitis was determined by the patient’s delayed hospitalisation with untreated oncological and non-oncological diseases of organs of the abdominal cavity and multiple concomitant diseases. Other contributing factors included not visiting general practitioners and lack of adherence to patients themselvesen
dc.description.statusPeer reviewed
dc.format.extent7
dc.format.extent3115339
dc.identifier.citationLindholm, M, Franckeviča, I, Derovs, A, Dabuzinskiene, A & Kleina, R 2022, 'FATAL PERITONITIS — CAUSES, CONTRIBUTING FACTORS AND DIAGNOSTIC CHALLENGES : AN AUTOPSY CASES STUDY', Proceedings of the Latvian Academy of Sciences Section B , vol. 76, no. 5/6 (740/741), pp. 679 -685. https://doi.org/10.2478/prolas-2022-0104
dc.identifier.doi10.2478/prolas-2022-0104
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/14890
dc.identifier.urlhttps://www.scopus.com/record/display.uri?eid=2-s2.0-85144251968&origin=inward&txGid=1da87083dc476dba84f2d60afef3772c
dc.language.isoeng
dc.relation.ispartofProceedings of the Latvian Academy of Sciences Section B
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subject3.2 Clinical medicine
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.subjectSDG 3 - Good Health and Well-being
dc.titleFATAL PERITONITIS — CAUSES, CONTRIBUTING FACTORS AND DIAGNOSTIC CHALLENGES : AN AUTOPSY CASES STUDYen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/article

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