XXXX in Auckland.

@entity1 @entity697 @entity66 @entity548 @entity694 @entity204 @entity298
A retrospective study is presented of 200 cases of @entity66 admitted to Auckland Hospital over the 6-year period 1979-84. The epidemiology of the total group, the mode or type of presentation, pathology and investigative practice have been examined. Seventy-six @entity1 required surgical intervention either electively or as an emergency and these cases have been considered in detail. The surgical group included 44 @entity1 and 32 @entity1 ; 21 @entity1 presented for elective resection, and 55 @entity1 underwent surgery during their emergency admission. In the emergency group, 20 laparotomies were performed for pericolic/pelvic abscesses, five for small/large bowel obstruction, 30 for @entity298 and only one laparotomy was performed for @entity548 . The mortality for the entire group was 4% with all @entity204 occurring in the @entity697 group. Three @entity204 followed emergency surgery and a further five @entity1 died without coming to surgery, the diagnosis of @entity697 being made only at post-mortem. Overall, 44% of cases of @entity697 underwent emergency surgery and a further 6% required surgery over the next 1-5 years. Resectional surgery was practised widely in the emergency group (the most common being Hartmann's operation). Less radical surgery is also preferred for localized sepsis in selected cases. The mortality was confined to @entity1 who did not undergo resection of the septic focus. The elective group (24 @entity1 ) usually presented as a result of stricture, or chronic symptoms, and these @entity1 generally did well with elective resection. The group of @entity1 presenting with @entity694 behaved in a very benign manner. There was no mortality and only one @entity1 required emergency surgery for @entity548 .
