[Primary biliary peritonitis].
OBJECTIVE
The purpose of this study was to debate the epidemiologic and clinical features of primitive biliary peritonitis (PBP) as much as a rare pathology; and especially to obtain a more comprehensive view of factors associated with a severe prognosis.


METHODS
It is a retrospective survey of 15 patients, collected from 2000 to 2003. Only primitive biliary peritonitis has been included.


RESULTS
It is a series of 15 patients, 6 men and 9 women, with a mean age of 62 years. Biliary lithiasis was incriminated in 14 cases. Clinical picture was an acute peritonitis in every case. Six patients were operated on by median incision, the others by costal one. The death rate is of 26,6%, all death were a direct complication of PBP. Factors associated with a higher mortality are an IGS II score superior or equal than 31 and a number of organ failures superior or equal to 3.


CONCLUSIONS
PBP is a rare and severe pathology that concerns aged women. Biliary lithiasis is the main etiology. Treatment is essentially surgical, in association with active per-operative resuscitation.
Grati
L
L
Service d'Anesthésie-Réanimation, CHU Fattouma-Bourguiba, avenue du 1(er)-Juin, 5000 Monastir, Tunisie. lotfi.grati@rns.tn
Louzi
M
M
Noomene
F
F
Ghrissi
R
R
Stambouli
N
N
Mhamdi
K
K
Gahbiche
M
M
D000368:Aged; D000369:Aged, 80 and over; D001646:Bile; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010538:Peritonitis / Q000175:diagnosis / Q000601:surgery; D012189:Retrospective Studies