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Related Experiment Videos

Rectal examination and acute appendicitis.

A P Dickson, G A MacKinlay

    Archives of Disease in Childhood
    |July 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Diagnosing acute appendicitis in children is highly accurate using history and abdominal exams. Rectal exams rarely changed management and were poor indicators of pelvic sepsis post-surgery.

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    Area of Science:

    • Pediatric Surgery
    • Gastroenterology
    • Diagnostic Accuracy

    Background:

    • Acute appendicitis is a common surgical emergency in children.
    • Accurate diagnosis is crucial to prevent complications.
    • Clinical examination remains a cornerstone of appendicitis diagnosis.

    Purpose of the Study:

    • To evaluate the diagnostic accuracy of clinical assessment for acute appendicitis in pediatric patients.
    • To determine the utility of preoperative rectal examination in diagnosing appendicitis.
    • To assess the effectiveness of postoperative rectal examination in identifying pelvic sepsis.

    Main Methods:

    • Retrospective chart review of 103 children diagnosed with acute appendicitis.
    • Analysis of diagnostic accuracy based on patient history and abdominal findings.

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  • Evaluation of the impact of rectal examinations on clinical management and outcomes.

    • Main Results:

    • A correct diagnosis of acute appendicitis was achieved in 90% of cases based on history and abdominal findings.
    • Preoperative rectal examination influenced management decisions in only two instances.
    • Postoperative rectal examination proved to be an unreliable indicator of pelvic sepsis.

    Conclusions:

    • Clinical history and abdominal examination are highly effective for diagnosing acute appendicitis in children.
    • Rectal examination has limited value in the preoperative and postoperative assessment of acute appendicitis and pelvic sepsis in this pediatric population.