Inguinal site infection as a rare cause of secondary peritonitis: report of a case.
BACKGROUND
Many rare conditions may cause secondary peritonitis. Injection site infection as a primary source of peritonitis has not been reported.


METHODS
Case report and review of the pertinent English-language literature.


RESULTS
We describe a 39-year-old intravenous drug user who presented with peritonitis. During the surgical exploration, all abdominal organs were intact, but there was an orifice in the pelvic peritoneum that was related to an inguinal site infection. Cultures of both the inguinal area and the peritoneal cavity discharge revealed Staphylococcus aureus.


CONCLUSIONS
Physicians should be aware of secondary peritonitis induced by self-injection of illicit substances in proximity to the peritoneal envelope.
Yegane
Rooh-Allah
RA
Department of Surgery, Loqman-Hakim Hospital, Shahid Beheshti Medical University, Tehran, Iran. yeganeh_r@sbmu.ac.ir
Bashashati
Mohammad
M
Keramati
Mohammad Reza
MR
D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D017577:Cutaneous Fistula / Q000150:complications / Q000382:microbiology*; D005402:Fistula / Q000150:complications / Q000382:microbiology*; D006801:Humans; D007264:Inguinal Canal; D007275:Injections, Intravenous / Q000009:adverse effects; D008297:Male; D016106:Methicillin Resistance / Q000187:drug effects; D010532:Peritoneal Diseases / Q000150:complications / Q000382:microbiology*; D010538:Peritonitis / Q000209:etiology / Q000382:microbiology*; D011027:Pneumoperitoneum / Q000000981:diagnostic imaging / Q000209:etiology; D011859:Radiography; D013203:Staphylococcal Infections / Q000188:drug therapy*; D015819:Substance Abuse, Intravenous / Q000150:complications / Q000382:microbiology*; D014640:Vancomycin / Q000627:therapeutic use
D000900:Anti-Bacterial Agents; D014640:Vancomycin