title: Inguinal site infection as a rare cause of secondary peritonitis: report of a case.
abstract: 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.
authors: Department of Surgery, Loqman-Hakim Hospital, Shahid Beheshti Medical University, Tehran, Iran. yeganeh_r@sbmu.ac.ir
authors: Rooh-Allah
authors: RA
authors: Yegane
authors: Mohammad
authors: M
authors: Bashashati
authors: Mohammad Reza
authors: MR
authors: Keramati
mesh_terms: 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
chemical_list: D000900:Anti-Bacterial Agents; D014640:Vancomycin