We observed 23 women who developed peritonitis after cesarean section. The average age of the patients was 28.9 years. There were 7 first-pregnant women and 16 second-pregnant women. The anamnesis revealed the presence of endogenous foci of infection in all the patients. Thus, flu, sore throat, acute respiratory infections were diagnosed in 20 women, pneumonia in 3; chronic pyelonephritis in 5, inflammatory uterine appendages in 6, rheumatism with mitral valve insufficiency in 1, Botkin disease in 1. Genuine pregnancy was preceded by abortions in 19 women, of whom 11 had formal abortions, 3 had criminal abortions, and 5 had spontaneous abortions at 10 to 25 weeks' gestation against a background of chronic pyelonephritis and inflammatory diseases of the uterine appendages.
Infected abortions remain the main source of septic complications. Most authors point out the sterile course of peritonitis in gynecological patients and the difficulty of its diagnosis, which confirms the relevance of the issue under study.1132 women with infected abortions were under observation, 26 of them (2.3%) were diagnosed with peritonitis. The average age of patients with peritonitis was 25,6 years. On the 2nd-3rd day after the intervention and the first signs of disease 17 patients were admitted, on the 5th-6th day - 8 patients. To terminate the pregnancy women injected vodka (6), rubber catheters (14), metal objects (2), and oral medications (4) into the uterine cavity. Uterine perforation due to the introduction of metal objects occurred in 2 patients.
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