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An unusual cause of peritonitis in a deployed environment
  1. Adrian Proffitt1,
  2. R Faulconer2,
  3. P Kreishman3,
  4. S Graybill4 and
  5. D Craig5
  1. 1ST3 Acute Internal Medicine, Department of Medicine, University Hospital of North Staffordshire, Stoke-on-Trent, Staffordshire, UK
  2. 2ST5 General and Vascular Surgery, Department of Surgery, Russells Hall Hospital, Dudley, West Midlands, UK
  3. 3Department of Surgery, Womack Military Medical Centre, Fort Bragg, North Carolina, USA
  4. 4Department of Internal Medicine, San Antonio Military Medical Centre, Fort Sam Houston, Texas, USA
  5. 5Department of Gastroenterology, The James Cook University Hospital, Middlesbrough, North Yorkshire, UK
  1. Correspondence to Surg Lt Cdr Adrian Proffitt RN, Department of Medicine, University Hospital of North Staffordshire, Stoke-on-Trent, ST4 6QG, UK; adrianproffitt{at}


Acute abdominal pain is a common presenting complaint to both primary and secondary care, and is a frequent cause of hospital admission among deployed personnel. Identification of generalised peritonism on abdominal examination is a classical indicator of intra-abdominal pathology that may warrant exploratory laparotomy. Negative findings at laparotomy should serve as a diagnostic prompt to consider other non-surgical mimics of an acute abdomen.

  • Infectious Diseases

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