An acute inflammation of the peritoneum, bacteria is produced or irritating substances that gain access to the abdominal cavity, these substances gain access by either a ruptured organ, a penetrating wound, perforation of the gastrointestinal or urogenital tract or a ruptured appendix. Massage considerations: usually the person is debilitated and should not be massaged. Although massage may be performed in the hospital to relieve stress and pain , but only after clearance. Massage should be curtailed to avoid any areas the client may be experiencing pain.

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