UNLABELLED: During the last 11 years, 122 children aged less than 5 years underwent appendectomy with a preoperative diagnosis of acute appendicitis. At surgery, 29 children (24%) presented with acute suppurative appendicitis, 64 children (52%) perforated appendices and 26 children (21%) with appendiceal abscess. In three cases (2%) there was no acute intra-abdominal process. In this study the following data were analysed: age, gender, symptoms, duration of symptoms, whether seen by a physician prior to admission and surgery, physical findings, stage of the disease at operation, histology, postoperative complications and mortality. CONCLUSION: The accurate diagnosis in early childhood appendicitis is still a difficult matter. The responsibility of the paediatric surgeon is mainly the clinical examination with all his clinical skills and facilities and if serious doubt still exists, to proceed with a laparotomy in order to reach a definite diagnosis.
UNLABELLED: During the last 11 years, 122 children aged less than 5 years underwent appendectomy with a preoperative diagnosis of acute appendicitis. At surgery, 29 children (24%) presented with acute suppurative appendicitis, 64 children (52%) perforated appendices and 26 children (21%) with appendiceal abscess. In three cases (2%) there was no acute intra-abdominal process. In this study the following data were analysed: age, gender, symptoms, duration of symptoms, whether seen by a physician prior to admission and surgery, physical findings, stage of the disease at operation, histology, postoperative complications and mortality. CONCLUSION: The accurate diagnosis in early childhood appendicitis is still a difficult matter. The responsibility of the paediatric surgeon is mainly the clinical examination with all his clinical skills and facilities and if serious doubt still exists, to proceed with a laparotomy in order to reach a definite diagnosis.
Authors: Ming Chien; Arie Habis; Loretto Glynn; Ann O'Connor; Tracie L Smith; Francis Prendergast Journal: Pediatr Surg Int Date: 2016-05-03 Impact factor: 1.827
Authors: Jayne J Y Chiang; Mark Ian Angus; Shireen A Nah; Anette S Jacobsen; Yee Low; Candy S C Choo; Te-Lu Yap; Yong Chen Journal: Pediatr Surg Int Date: 2020-02-22 Impact factor: 1.827