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Related Experiment Videos

[Acute appendicitis: a study on 118 patients].

W Fujita, H Shigemoto, T Nishimoto

    Nihon Geka Gakkai Zasshi
    |April 1, 1985
    PubMed
    Summary

    Prompt diagnosis and hospitalization are crucial for children with suspected acute appendicitis to prevent perforation. Early intervention within 24 hours significantly reduces perforation rates in pediatric patients.

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    Area of Science:

    • Gastroenterology
    • Pediatric Surgery
    • Emergency Medicine

    Context:

    • Review of 118 acute appendicitis cases operated between 1976-1984.
    • Analysis of patient demographics, clinico-pathological types, and initial symptoms.
    • Evaluation of diagnostic findings including physical examination and abdominal radiography.

    Purpose:

    • To analyze the clinico-pathological features of acute appendicitis in children versus adults.
    • To identify factors associated with perforated appendicitis, particularly in pediatric patients.
    • To establish recommendations for timely diagnosis and management of acute appendicitis in young patients.

    Summary:

    • Acute appendicitis presents with abdominal pain, nausea, vomiting, and fever. Physical findings include tenderness, rebound tenderness, and palpable mass.
    • Perforation rates were significantly higher in children (34.6%) compared to adults (5.0%).
    • The 'sentinel loop sign' was observed in 66.3% of abdominal roentgenograms. Perforation risk increased from 12.7% to 56.4% in patients under 15 operated on after 24 hours versus within 24 hours.

    Impact:

    • Highlights the increased risk of perforation in pediatric appendicitis cases.
    • Emphasizes the importance of prompt hospital admission and diagnosis within 24 hours for children.
    • Provides evidence-based recommendations for improving outcomes in pediatric acute appendicitis management.

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