Penetration of infection into the pelvic peritoneum gives rise to pelvic peritonitis. This disease begins with sharp pains in the lower part of the abdomen and abdominal distention, the abdomen being so painful that it cannot be touched ( the lower part of the abdomen does not participate in respiration) and fever the tounge is coated and the patient requirest complete rest, sulfa drugs, antibiotics anad analgesics an ice bags is applied to the abdomen so that it barely touches the abdominal wall. As a result of the inflammation of the pelvic peritoneum, adhesions are subsequently formed between the uterus, tubes, ovaries and intestines, and not infrequently the omentum so called parametric adhesions.  
Source: A.Kaplan

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