Sample results
Peritonitis is a serious inflammation of the peritoneum, the thin tissue lining the abdominal cavity. It is caused by bacterial infection from conditions like appendicitis, bowel perforation, or contamination during peritoneal dialysis. The CA-125 test is the most important blood marker for monitoring peritoneal inflammation and treatment response.
Peritonitis is caused by bacterial infection that contaminates the peritoneal cavity. The most common bacteria include Escherichia coli, Streptococcus species, and Staphylococcus aureus, which can enter through a ruptured appendix, perforated bowel, abdominal trauma, or complications from peritoneal dialysis. In some cases, fungal infections or chemical irritation from digestive juices can also trigger peritonitis, though bacterial infections remain the primary cause.
The CA-125 test is the most important blood marker for monitoring peritonitis because it detects elevated levels caused by inflammation of the peritoneal tissue. While peritonitis is primarily diagnosed through clinical examination, imaging, and peritoneal fluid analysis, the CA-125 blood test provides valuable information about the severity of peritoneal inflammation and helps track your response to treatment. Healthcare providers use this marker alongside complete blood count (CBC) and inflammatory markers like C-reactive protein to get a comprehensive picture of the infection and inflammation levels in your body.
You should get tested immediately if you experience sudden severe abdominal pain that worsens with movement or touch, fever, nausea, vomiting, or abdominal swelling and tenderness. People on peritoneal dialysis should seek testing if they notice cloudy dialysis fluid, which is a key warning sign of infection. Anyone with recent abdominal surgery, bowel disease, or abdominal trauma who develops these symptoms needs urgent evaluation, as peritonitis is a medical emergency requiring immediate treatment.
What this means
Your CA-125 level is slightly elevated above the normal range. While this can be associated with ovarian cancer, it's important to know that many benign conditions like endometriosis, fibroids, or even menstruation can cause elevations. Your doctor will likely recommend additional imaging or evaluation to determine the cause.
Recommended actions
Schedule a follow-up appointment with your gynecologist or healthcare provider to discuss these results
Your doctor may recommend pelvic ultrasound or CT imaging for further evaluation
Keep track of any symptoms like pelvic pain, bloating, or changes in your cycle
Consider retesting in 4-8 weeks to see if levels change or if this is a temporary elevation
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Sample results
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