XXXX unassociated with prior operation.

@entity1 @entity295 @entity6177 @entity2719 @entity1320 @entity204
During the past five years, 65 @entity1 were treated for @entity6177 unassociated with prior operation. Radiologic tests proved quite accurate in confirming the diagnosis. Abdominal x-ray films were abnormal in 25 (57%) of 44 @entity1 , as were ultrasonograms in 33 (89%) of 37 @entity1 , computed tomography scans in 13 (100%) of 13 @entity1 , and @entity2719 scans in five (100%) of five @entity1 . Celiotomy was performed in each @entity1 with both abscess drainage and the appropriate management of the diseased organ. Seven @entity1 (10.8%) died, and in five @entity204 was due to uncontrolled @entity295 . Duration of hospitalization averaged 23 days (seven days preoperatively and 16 days postoperatively). Twenty-two (34%) of 65 @entity1 had an incorrect preoperative diagnosis leading to prolonged antibiotic treatment and delay in operation. The mortality was significant in seven (10.8%) of 65 @entity1 , unrelated to the type of operative drainage (Penrose v sump) but clearly related to uncontrolled @entity1320 . A heightened suspicion of this problem should allow for an earlier diagnosis and an improved outcome. Prompt abdominal reexploration is indicated in those @entity1 manifesting continued evidence of @entity295 or organ failure.
