Table 3.
Change of Management Plan after Sonography
| Conservative -> Operative | Operative -> Conservative | Additional Examinations | Change kind of operation | Other (Transfer to UH) | Total | ||||||
| 14 × (13%) | 1× (1%) | 30× (28%) ① | 0 | 0 | 15 × | ||||||
| UH | Stage I | Stage III | Stage I | Stage III | Stage I | Stage III | Stage I | Stage III | Stage I | Stage III | |
| Pelvic inflamatory disease 2× Cholec. 8× App. Ⓑ 2× App. Ⓑ Gyn. |
Abscess CCE AE Process = AE EUG |
Append. | Enteritis?Ⓐ | Table 4 | Table 4 | ||||||
| RH | 4 × (7%) | 3 × (6%) | 2 × (4%) | 3 × (6%) | 3 × (6%) | 15 × | |||||
| Enteritis Gastritis Adnex. Append. |
Append. Cholecy. Adnex. 1 Append.2 |
Adnex. Append. Append. |
Nephroli. Gastroen. Diverticulitis. |
Pancreat. Diverticulitis. |
Pancreat.3 Meckel ° |
Ovar cys. Diverticulitis. Adnexitis |
Ileus Adnexitis App. perf. |
Append. Ovar cys. Gastritis |
Mes. Inf. Volvulu Lymphom |
||
① The additional examinations did not contribute to a change from initial management in any case. The additional examinations were ordered independent of the results of the sonography.
Ⓐ In the clinical process diagnosis of appendicitis and secondary operation.
Ⓑ After basic clinical examination unlikely or low probability of appendicitis.
1 Basic clinical examination and sonography unclear.
2 Basic clinical examination and sonography unclear.
3 ERCP after sonography
° CT after sonography
+ 5× Change of the conservative therapy at RH after sonography:
Nephrolithiasis -> Refluxoesophagitis
Hernia -> Nephrolithiasis
Cholecystolithiasis -> Musculoskeletal
Nephrolithiasis -> Musculoskeletal
Cholecystolithiasis -> Liver tumour
EUG = Extra uterine gravity; AE = Appendectomy; CCE = Cholecystectomy