hrcak mascot   Srce   HID

Stručni rad

RELIABILITY OF GYNAECOLOGICAL EXAMINATION IN DIFFERENTIAL DIAGNOSIS OF APPENDICITISIN WOMEN OF REPRODUCTIVE AGE

Srećko Sabalić
Željko Glavić
Ljubo Begić
Damir Šimleša
Dujo Gverić
Damir Hodžić

Puni tekst: engleski, pdf (100 KB) str. 140-144 preuzimanja: 1.214* citiraj
APA 6th Edition
Sabalić, S., Glavić, Ž., Begić, Lj., Šimleša, D., Gverić, D. i Hodžić, D. (2005). RELIABILITY OF GYNAECOLOGICAL EXAMINATION IN DIFFERENTIAL DIAGNOSIS OF APPENDICITISIN WOMEN OF REPRODUCTIVE AGE. Gynaecologia et perinatologia, 14 (3), 140-144. Preuzeto s https://hrcak.srce.hr/15792
MLA 8th Edition
Sabalić, Srećko, et al. "RELIABILITY OF GYNAECOLOGICAL EXAMINATION IN DIFFERENTIAL DIAGNOSIS OF APPENDICITISIN WOMEN OF REPRODUCTIVE AGE." Gynaecologia et perinatologia, vol. 14, br. 3, 2005, str. 140-144. https://hrcak.srce.hr/15792. Citirano 25.01.2020.
Chicago 17th Edition
Sabalić, Srećko, Željko Glavić, Ljubo Begić, Damir Šimleša, Dujo Gverić i Damir Hodžić. "RELIABILITY OF GYNAECOLOGICAL EXAMINATION IN DIFFERENTIAL DIAGNOSIS OF APPENDICITISIN WOMEN OF REPRODUCTIVE AGE." Gynaecologia et perinatologia 14, br. 3 (2005): 140-144. https://hrcak.srce.hr/15792
Harvard
Sabalić, S., et al. (2005). 'RELIABILITY OF GYNAECOLOGICAL EXAMINATION IN DIFFERENTIAL DIAGNOSIS OF APPENDICITISIN WOMEN OF REPRODUCTIVE AGE', Gynaecologia et perinatologia, 14(3), str. 140-144. Preuzeto s: https://hrcak.srce.hr/15792 (Datum pristupa: 25.01.2020.)
Vancouver
Sabalić S, Glavić Ž, Begić Lj, Šimleša D, Gverić D, Hodžić D. RELIABILITY OF GYNAECOLOGICAL EXAMINATION IN DIFFERENTIAL DIAGNOSIS OF APPENDICITISIN WOMEN OF REPRODUCTIVE AGE. Gynaecologia et perinatologia [Internet]. 2005 [pristupljeno 25.01.2020.];14(3):140-144. Dostupno na: https://hrcak.srce.hr/15792
IEEE
S. Sabalić, Ž. Glavić, Lj. Begić, D. Šimleša, D. Gverić i D. Hodžić, "RELIABILITY OF GYNAECOLOGICAL EXAMINATION IN DIFFERENTIAL DIAGNOSIS OF APPENDICITISIN WOMEN OF REPRODUCTIVE AGE", Gynaecologia et perinatologia, vol.14, br. 3, str. 140-144, 2005. [Online]. Dostupno na: https://hrcak.srce.hr/15792. [Citirano: 25.01.2020.]

Sažetak
The aim of the study was to examine the differential-diagnostical reliability of gynaecological examination in women of reproductive age who have shown clinical symptoms of acute abdomen in the lower right quadrant, with a dilemma whether this was due to acute appendicitis or acute gynaecological disease. Patients and methods. During the 15-year period (from 1988 to 2003), there were 530 women of reproductive age who underwent surgery for suspected acute appendicitis at County Hospital in Požega. Case histories, intraoperative findings, pathohistological findings, as well as consultative gynaecological findings were analysed retrospectively. For statistical analysis .2 test was used, with measuring confidence intervals at the level of 95% (p<0.05). Results. Out of 530 women of reproductive age included in the study, 159 of them were referred to a gynaecological examination (group A) and 371 of them were not (group B). In the group A (n=159), 34 (21.4%) women were diagnosed with a gynaecological disease intraoperatively even though the previous palpatory gynaecological findings were normal. In the group B (n=371), 22 (5.9%) patients were diagnosed with a gynaecological disease intraoperatively but these patients were not referred to a gynaecologist at all. Among all the women at 34 was diagnosed an ovarian cyst, at 12 a tubo-ovarian abscess, at 9 a pelvic inflammatory disease and at 1 an ovarian torsion. A significant (p<0.05, .2=26.516; odds ratio=4.31; CI 95%=2.43–7.65) unreliability of bimanual gynae-cological examination was found in diagnosing an acute gynaecological pathology in female patients who were referred to a consultation by a surgeon. Conclusion. The results of this study suggest a significant unreliability of bimanual gynaeco-logical examination in differential diagnosis of acute abdomen in women of reproductive age. Clinical work should, at any rate, include other diagnostical methods (US; CT; laparoscopy, MRI), aiming at a more precise diagnosis, which would then lead to the application of a more adequate therapy.

Ključne riječi
appendicitis; differential diagnosis; gynaecological examination; reproductive age; algorithm

Hrčak ID: 15792

URI
https://hrcak.srce.hr/15792

[hrvatski]

Posjeta: 1.939 *