Acute appendicitis in preschool-age children.

Autor:	Sakellaris, George, Tilemis, Stefanos, Charissis, Giorgos
Předmět:	APPENDICITIS PRESCHOOL children APPENDECTOMY ABDOMINAL surgery PEDIATRIC surgeons GASTROINTESTINAL system ANTIBIOTICS APPENDICITIS diagnosis APPENDICITIS treatment ABDOMINAL abscess ABDOMINAL pain AFFECT (Psychology) ANOREXIA nervosa COUGH DIARRHEA FEVER HIP joint NAUSEA PHARYNGITIS TACHYCARDIA URINATION disorders VOMITING RETROSPECTIVE studies ACUTE diseases
Zdroj:	European Journal of Pediatrics; Feb2005, Vol. 164 Issue 2, p80-83, 4p, 7 Charts
Abstrakt:	Unlabelled: During the last 11 years, 122 children aged less than 5 years underwent appendectomy with a preoperative diagnosis of acute appendicitis. At surgery, 29 children (24%) presented with acute suppurative appendicitis, 64 children (52%) perforated appendices and 26 children (21%) with appendiceal abscess. In three cases (2%) there was no acute intra-abdominal process. In this study the following data were analysed: age, gender, symptoms, duration of symptoms, whether seen by a physician prior to admission and surgery, physical findings, stage of the disease at operation, histology, postoperative complications and mortality.Conclusion: The accurate diagnosis in early childhood appendicitis is still a difficult matter. The responsibility of the paediatric surgeon is mainly the clinical examination with all his clinical skills and facilities and if serious doubt still exists, to proceed with a laparotomy in order to reach a definite diagnosis. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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