Postoperative ascites associated with intraperitoneal antiseptic lavage.
BACKGROUND
Peritonitis is the established term for infective inflammation of the peritoneum, whereas serositis generally refers to aseptic inflammation of a serous cavity, including the peritoneum. Serositis may be metabolic, viral, autoimmune, drug induced, genetic, allergic or granulomatous, or due to chemical antiseptics.


METHODS
In our gynecological department, 4 patients had peritonitis and ascites after laparotomy.


CONCLUSIONS
Based on the investigation, we think that the solution used for peritoneal lavage (0.1% octenidine dihydrochloride and 2% phenoxyethanol) played a role in the tissue toxicity that caused chemical serositis with effusion.
Hupuczi
Petronella
P
Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary. pz@noil.sote.hu
Papp
Zoltán
Z
D001201:Ascites / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy*; D004322:Drainage / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007044:Hysterectomy / Q000379:methods; D007813:Laparotomy / Q000009:adverse effects / Q000379:methods; D007889:Leiomyoma / Q000175:diagnosis / Q000601:surgery; D010048:Ovarian Cysts / Q000175:diagnosis / Q000601:surgery; D010533:Peritoneal Lavage / Q000009:adverse effects* / Q000379:methods; D011183:Postoperative Complications / Q000175:diagnosis* / Q000628:therapy; D018570:Risk Assessment; D012494:Sampling Studies; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014594:Uterine Neoplasms / Q000175:diagnosis / Q000601:surgery