PMC6942788_01
Abdominal computed tomography findings in a patient with primary peritonitis. (a) Computed tomography indicated a small amount of ascites. (b) Computed tomography showed edema of the intestinal membrane. (c) Computed tomography showed edema of the retroperitoneum.
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fig1
C-reactive protein level of 319 mg/L, and a coagulation disorder, prothrombin time ratio: 1.33, fibrin degradation product: 32.5 microg/ml, satisfying acute disseminated intravascular coagulation (DIC) criteria according to the Japanese Association for Acute Medical criteria (JAAM criteria). Computed tomography indicated a small amount of ascites, edema of the intestinal membrane and retroperitoneum (Figure 1), and no marked gastrointestinal perforation.
Clinical course of this patient.
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fig2
He successfully recovered from septic shock after the initiation of cytokine-absorption therapy and responded well to the intensive treatment (Figure 2).