Multiple other conditions can mimic an acute surgical abdomen: the prodromal phase of herpes zoster (see shingles (herpes zoster) mimicking appendicitis) abdominal wall hematoma, sickle cell crisis, withdrawal, typhoid, pneumonia and myocardial infarction are examples. There is also a primary peritonitis that occurs mostly (75%) in women, and young girls, usually due to pneumococcus spread hematogenously. Ascites may also become secondarily infected. Foreign bodies such as peritoneal-venous shunt may be a nidus for infection.
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