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[Appendicitis in children under 3]

C Baeza Herrera1, O Guido Ramires, J A González Galicia

  • 1Departamento de Cirugía, Hospital Pedriático Moctezuma, México, D.F.

Revista De Gastroenterologia De Mexico
|July 1, 1994
PubMed
Summary

Acute appendicitis in children under three years old often leads to perforation. Delayed diagnosis, indicated by prolonged symptoms, significantly increases complication rates in this vulnerable age group.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Infectious Diseases

Context:

  • Acute appendicitis presents unique challenges in children under three years old compared to older children.
  • Understanding the specific responses to intra-abdominal infections in infants is crucial for reducing morbidity.
  • Supportive treatment plays a vital role in managing young children with acute appendicitis.

Purpose:

  • To investigate the factors contributing to the high perforation rate in acute appendicitis among children under three years of age.
  • To analyze the clinical presentation and outcomes of appendectomy in this specific pediatric demographic.

Summary:

  • A retrospective analysis of 88 patients (4-35 months old) undergoing appendectomy revealed significant differences in acute appendicitis presentation.
  • The majority of patients (80%) experienced symptoms for over 24 hours, with 90% presenting with peritonitis.
  • Common symptoms included fever, pain, and vomiting; abdominal radiographs often indicated small bowel obstruction.

Impact:

  • The study highlights that the duration of symptoms is directly proportional to the rate of complications in young children with acute appendicitis.
  • Findings underscore the need for prompt diagnosis and intervention to mitigate the high perforation and morbidity rates.
  • This research contributes to improving the management and outcomes for infants and toddlers diagnosed with acute appendicitis.

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