KARAGANDA STATE MEDICAL UNIVERSITY

DEPARTMENT :- PATHOLOGICAL ANATOMY NO. – 2

TOPIC – PANCREATITIS AND PERITONITIS

MADE BY – SAINI VIJAY KUMAR (3016 a)

PANCREAS

PANCREAS ANATOMY2 Parts - • Exocrine• Endocrine

Length – 15cmWeight – 100gm

• Subdivided into 3 topographic zones:-

1. Head2. Body3. Tail

Pancreatitis

PANCREATITIS• It is inflammation of pancreas.• Acinic cell injury

Classification - Acute pancreatitisChronic pancreatitis

Causes of pancreatitis -

Acute pancreatitis -

Acute pancreatitis - • This condition occurs in adults between the age of 40 and 70 years .• It is common in females than males. • Onset – sudden

Signs and symptoms• Abdominal pain (cardinal symptom)• Anorexia• Diarrhea• Fever• Rapid pulse• Nausea• Vomiting

Pathogenesis ;-

Complication - Systemic complication – 1) Chemical and bacterial peritonitis2) Endotoxic shock3) Acute and renal failure

Local complication – 1) Pancreatic abscess2) Pancreatic pseudocyst3) Duodenal obstruction

Chronic pancreatitis -

Chronic pancreatitis :-

Chronic pancreatitis -

Complication of chronic pancreatic-

Treatment of pancreatitis -

peritonitis

Peritonitis -

Anatomy peritoneum - • The peritoneum is the largest and most complex serous membrane in

the body. It forms a closed sac (ie, coelom).• anterior and lateral :- the interior surfaces of the abdominal wall.• posterior :- the boundary to the retroperitoneum.• inferior :- the extraperitoneal structures in the pelvis.• superior :- covering the undersurface of the diaphragm.

peritoneal surface

Sclerosing peritonitis:-

Causes of peritonitis -

Common symptoms of peritonitis include:1. tenderness in your abdomen.2. pain in your abdomen that gets more intense with motion or touch.3. abdominal bloating or distention.4. nausea and vomiting.5. diarrhea.6. constipation or the inability to pass gas.7. minimal urine output.8. anorexia, or loss of appetite.

Etiology - • The etiology of disease depends on the type, as well as location, of

peritonitis, as follows:• Primary peritonitis• Secondary peritonitis• Tertiary peritonitis• Chemical peritonitis• Peritoneal abscess

Pathogenesisof peritonitis;-