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Acute appendicitis is the most common pediatric surgical emergency worldwide. The diagnosis and management in children involves a unique set of challenges for clinicians.
7 maj 2024 · This topic will review the management of appendicitis in children. The evaluation, diagnosis, and diagnostic imaging of acute appendicitis in children and management of appendicitis in adults are discussed separately: (See "Acute appendicitis in children: Clinical manifestations and diagnosis".)
Conservative antibiotic treatment (CAT) for uncomplicated acute appendicitis (AUA) in children has been proven safe and efficacious. However, as data accumulate, high rates of recurrent appendicitis and subsequent appendectomy have been reported.
3 lip 2023 · Appendicitis is an acute inflammatory process involving the appendix. It is the number one surgical emergency and one of the most common causes of abdominal pain, particularly in children. It should be considered in any patient with acute abdominal pain without prior appendectomy.
10 maj 2023 · Children with acute appendicitis commonly present with periumbilical abdominal pain with migration to the right lower quadrant typically within 24 hours of the onset of symptoms. They also may present with fever, anorexia, nausea, and vomiting.
13 sty 2021 · Recruitment to a randomised controlled trial examining the effectiveness and cost-effectiveness of a non-operative treatment pathway compared with appendicectomy for the treatment of uncomplicated acute appendicitis in children is feasible.
The previously established ground to the etiology, function, and management of acute appendicitis in adults and children have been widely challenged in recent literature with growing evidence supporting non-operative management of appendicitis as a potential treatment modality.
