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Peritonitis is inflammation of the peritoneum, the lining of the inner wall of the abdomen and cover of the abdominal organs. Symptoms may include severe pain, swelling of the abdomen, fever, or weight loss. Complications may include shock and acute respiratory distress syndrome. 1 abscess classification ischioanal abscesses located in ischioanal fat are bordered by the sphincter muscles medially by the levator ani in the cranial aspect, and by the ischial bone laterally. Depending on the location, sometimes these can be differentiated into superficial and deep. Perianal abscesses usually develop from the proctodeal glands which originate from the intersphincteric plane and perforate the internal sphincter with their duct. For high fistulae closing should be performed from an abdominal approach. Gastrointestinal perforation (gp) occurs when a hole forms all the way through the stomach, large bowel, or small intestine. Gp can be due to a number of different conditions, including. Gastrointestinal perforation, also known as ruptured bowel, is a hole in the wall of part of the gastrointestinal tract. The gastrointestinal tract includes the esophagus, stomach, small intestine, and large intestine. A perforated bowel happens when a medical condition, such as diverticulitis, causes a hole or tear in your bowel. 16) a 60-year-old man with a history of chronic back pain presents to the emergency department with abdominal pain. He states his back pain has been worsening recently requiring more pain medications. 4c), blood pressure is 12280 mmhg, pulse is 120min, respirations are 12min, and oxygen saturation is 98 on room air.