If the diagnosis of peritonitis has been only a clinical exam for a lo
ng time, the diagnosis of ''secondary'' and post-surgical peritonitis
is actually a clinical and X-ray examination. US and CT have modified
the study of peritonitis. These methods can determine the presence of
all intraperitoneal effusion, spread or localized. Only, the ponction-
aspiration by fine needle under guidance by CT or US allows a diagnosi
s of certitude for infection of this effusion. Early diagnosis is an e
ssential factor of prognosis because it determines the beginning of tr
eatment. The objective of this study is to describe the different radi
ographic investigations of acute peritonitis and to propose a strategi
c for positive diagnosis.