Spontaneous Peritonitis

Spontaneous peritonitis is an infection of the fluid that accumulates in the abdomen (ascites) without a perforation or evident source causing it, a situation that usually occurs in people with advanced liver disease.

Common causes: it is associated with the passage of bacteria into the abdominal fluid, often in the context of cirrhosis and fluid accumulation in the peritoneal cavity, where the natural defenses are reduced.

Common symptoms: abdominal pain or distension, fever, chills, and, at times, confusion or general malaise; sometimes the symptoms are subtle and go unnoticed.

Which specialist treats it? The gastroenterologist and the general surgeon are involved in its evaluation, and the general practitioner usually guides the first assessment and refers the patient. Faced with these symptoms in someone with liver problems, it is advisable to seek professional evaluation in a timely manner and not postpone it.