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Appendicitis in children less than 5 years old: influence of age on presentation and outcome
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Appendicitis in children less than 5 years old: influence of age on presentation and outcome
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Journal Article
Appendicitis in children less than 5 years old: influence of age on presentation and outcome
2012
Overview
Appendicitis is the most common emergency surgical condition of the abdomen in children. This study sought to delineate the presentation and the outcome of appendicitis in children younger than 5 years old.
A retrospective review was conducted of all children younger than 5 years of age who underwent appendectomy for acute appendicitis over a 12-year period.
One thousand eight hundred thirty-six patients younger than 19 years of age underwent appendectomy. Two hundred eighty-one children with an age range of 6 months to 4.9 years were included in this study. Perforation rates were higher in the younger patients (86% <1 year, 74% 1–1.9 years, 60% 2–2.9 years, 64% 3–3.9 years, and 49% 4–4.9 years), but the youngest children had fewer postoperative abscesses.
In children less than 5 years old with appendicitis, age has a direct correlation to the stage of disease. The youngest children present with more advanced appendicitis but are less likely to develop postoperative abscesses.
Publisher
Elsevier Inc,Elsevier,Elsevier Limited
Subject
/ Abdominal Abscess - epidemiology
/ Abdominal Abscess - etiology
/ Appendix
/ Biological and medical sciences
/ Blood
/ Children
/ Female
/ Gastroenterology. Liver. Pancreas. Abdomen
/ Humans
/ Infant
/ Male
/ Pain
/ Postoperative Complications - epidemiology
/ Postoperative Complications - etiology
/ Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
/ Surgery
