Grati L, Louzi M, Noomene F, Ghrissi R, Stambouli N, Mhamdi K, Gahbiche M
Service d'Anesthésie-Réanimation, CHU Fattouma-Bourguiba, avenue du 1(er)-Juin, 5000 Monastir, Tunisie.
Ann Chir. 2006 Feb;131(2):96-9. doi: 10.1016/j.anchir.2005.11.004. Epub 2005 Dec 5.
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.
It is a retrospective survey of 15 patients, collected from 2000 to 2003. Only primitive biliary peritonitis has been included.
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.
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.
本研究旨在探讨原发性胆汁性腹膜炎（PBP）这一罕见病理的流行病学和临床特征；尤其要更全面地了解与严重预后相关的因素。
这是一项对2000年至2003年收集的15例患者的回顾性调查。仅纳入原发性胆汁性腹膜炎患者。
该系列共15例患者，6例男性，9例女性，平均年龄62岁。14例患者存在胆石症。所有病例的临床表现均为急性腹膜炎。6例患者采用正中切口手术，其余患者采用肋缘下切口手术。死亡率为26.6%，所有死亡均为PBP的直接并发症。与较高死亡率相关的因素是国际疾病严重程度评分（IGS）II≥31分以及器官衰竭数≥3个。
PBP是一种罕见且严重的疾病，多见于老年女性。胆石症是主要病因。治疗主要为手术治疗，并在术中积极进行复苏。
