Primary Peritonitis Revealed by Status Epilepticus

There are many etiologies of status epilepticus (SE). In some cases, the etiological research of SE remains a challenge with atypical presentations. We report the case of an 18-year-old woman hospitalized in the intensive care unit for status epilepticus. The etiological research did not allow us to find the cause until an abdominopelvic CT scan showed free peritoneal abundant fluid consistent with a peritoneal infection. After surgical treatment, she developed multi-organ failure and died on the fourth day after surgery. Primary peritonitis revealed by SE has rarely been reported in the literature.