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Case Report: Diagnostic challenges in pediatric appendicitis: a case of perforated appendicitis with secondary

Xueke Li1,2,3, Li Lin1,2,3, Cheng Yu1,2,3

  • 1Department of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

Frontiers in Pediatrics
|March 9, 2026
PubMed

Insights

Atypical appendicitis in young children poses diagnostic challenges. This case shows a perforated appendix leading to a hepatic abscess, emphasizing the need for re-evaluation when symptoms persist.

Area of Science:

  • Pediatric Surgery
  • Pediatric Gastroenterology
  • Diagnostic Imaging

Background:

  • Appendicitis in children under 5 often presents atypically.
  • Diagnostic challenges arise in primary and emergency care settings.
  • Delayed diagnosis can lead to severe complications.

Keywords:
abdominal painacute appendicitiscase reporthepatic abscesspediatric

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