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[Septic complications following acute appendicitis in childhood (author's transl)]
Zeitschrift Fur Kinderchirurgie Und Grenzgebiete
|May 1, 1980
Insights
In pediatric acute appendicitis, 7.5% of cases involved perforation, with higher rates in infants. One fatality occurred, highlighting the severe complications of delayed diagnosis and treatment in children.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Infectious Diseases
Context:
- Acute appendicitis is a common surgical emergency in children.
- Appendiceal perforation presents significant management challenges and risks.
- Understanding risk factors for perforation is crucial for early diagnosis and intervention.
Purpose:
- To report the incidence of perforated appendicitis in a pediatric cohort.
- To identify age-related risk factors for appendiceal perforation.
- To discuss the infectious complications associated with perforated appendicitis in children.
Summary:
- A study of 1556 children with acute appendicitis found an overall perforation rate of 7.5% (118 cases).
- Perforation was significantly more common in children younger than one year.
- One fatal case (0.06%) was reported, highlighting the potential severity.
Impact:
- Highlights the increased risk of perforation in infants with acute appendicitis.
- Informs clinical practice regarding the prompt diagnosis and management of appendicitis in young children.
- Emphasizes the importance of considering appendiceal perforation in the differential diagnosis for febrile infants with abdominal pain.
Abstract:
1556 children with acute appendicitis are reported. 118 of these were perforated (7.5%). There was one fatal case (0.06%). Perforation was found more frequently in children under one year of age. The complications of infection in this situation are discussed.