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Related Experiment Videos

Childhood appendicitis. A clinical profile

S K Pandit1, A Kaul, Z Habib

  • 1Department of Surgery, Government Medical College, Srinagar, J & K, India.

Indian Pediatrics
|January 1, 1993
PubMed
Summary

Clinical symptoms like abdominal pain and right iliac fossa tenderness are reliable indicators for diagnosing acute appendicitis. This study found a low false positive rate of 16.66% when using these signs with investigations.

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Area of Science:

  • Pediatric Surgery
  • Gastroenterology
  • Diagnostic Accuracy

Background:

  • Acute appendicitis is a common surgical emergency in children.
  • Accurate diagnosis is crucial to avoid unnecessary surgery and complications.
  • Clinical presentation can be variable, posing diagnostic challenges.

Purpose of the Study:

  • To evaluate the diagnostic reliability of clinical symptoms and signs for acute appendicitis.
  • To determine the false positive rate of clinical diagnosis in pediatric patients.

Main Methods:

  • Retrospective analysis of 50 pediatric patients with presumptive acute appendicitis.
  • Assessment of clinical signs (abdominal pain, tenderness) and laboratory investigations.
  • Correlation of clinical findings with surgical and pathological outcomes.

Main Results:

  • Abdominal pain was present in 84% (42/50) and localized tenderness in 70% (35/50).
  • Elevated total leucocyte count (>11,000/cu mm) was observed in 62% (31/50).
  • Of 48 operated patients, 8 (16.66%) had normal appendices, with alternative diagnoses including Meckel's diverticulitis and mesenteric adenitis.

Conclusions:

  • Abdominal pain and right iliac fossa tenderness are highly reliable indicators of acute appendicitis.
  • Contributory investigations enhance diagnostic accuracy, yielding a low false positive rate of 16.66%.

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