Acute appendicitis (AA) Appendicitis is the most common cause of abdominal pain requiring
surgical intervention in children, with an incidence of approximately 8% [
[1]
]. The diagnosis of AA is based on clinical history, physical examination, laboratory
tests and ultrasound findings [
[2]
]. However, this condition is uncommon in pre-school children with a high incidence
of complicated appendicitis such as perforation and/or peritonitis, which increase
patient morbidity and hospital costs [
[3]
,
[4]
]. Despite the availability of sophisticated diagnostic imaging, the rate of misdiagnosis
of acute appendicitis in young children remains very high [
[4]
]. The aim of this study is to compare two groups of patients, and to identify prehospital
predictive factors that may help the diagnosis of AA in children <6 years old.To read this article in full you will need to make a payment
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References
- Standardized ultrasound templates for diagnosing appendicitis reduce annual imaging costs.J Surg Res. 2018; 221: 77-83
- Predictive value of C-reactive protein, ultrasound and Alvarado score in acute appendicitis: a prospective pediatric cohort.Am J Emerg Med. 2016; 34: 189-192
- Appendicitis in children less than five years old: a challenge for the general practitioner.World J Clin Pediatr. 2015; 4: 19-24
- Acute appendicitis in young children less than 5 years: review article.Ital J Pediatr. 2017; 43: 15
Article Info
Publication History
Published online: February 03, 2018
Accepted:
January 30,
2018
Received:
January 30,
2018
Footnotes
☆Conflict of Interest: None declared.
☆Source of Support: Nil.
Identification
Copyright
© 2018 Elsevier Inc. All rights reserved.