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Childhood appendicitis in Zaria: a retrospective study
1Department of Surgery, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria.
East African Medical Journal
|August 1, 1993
Summary
Childhood appendicitis in Africa is underreported. This study highlights common symptoms and signs, revealing high rates of perforation and gangrene, with a significant mortality rate of 9% in pediatric appendicitis cases.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Epidemiology
Background:
- Limited data exists on childhood appendicitis in Africa.
- Appendicitis is a common surgical emergency in children globally.
- Understanding regional variations is crucial for effective healthcare.
Purpose of the Study:
- To describe the clinical presentation and outcomes of childhood appendicitis in an African setting.
- To identify common symptoms and signs associated with appendicitis in pediatric patients.
- To determine the incidence of complications and mortality rates.
Main Methods:
- Retrospective analysis of 207 pediatric appendicitis cases operated between 1981-1990.
- Detailed review of 44 patient records from the last two years of the study period.
- Data collection on patient demographics, symptoms, signs, operative findings, and outcomes.
Main Results:
- Common symptoms included vague abdominal pain, vomiting, constipation, and fever.
- Key signs were high-grade fever, dehydration, and abdominal tenderness.
- High rates of complications were observed: 26.6% uncomplicated appendicitis in the larger group, 45.5% perforation in the smaller group.
- Mortality rate was 9% (4 deaths).
Conclusions:
- Childhood appendicitis in this African cohort frequently presents with advanced complications like perforation and gangrene.
- Prompt diagnosis and surgical intervention are critical to reduce morbidity and mortality.
- Further prospective studies are needed to confirm these findings and guide public health strategies.