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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
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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.

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.

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  • 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.