Pediatric Appendicitis.

Creator(s)

Rebecca M. Rentea, Children's Mercy HospitalFollow
Shawn D. St Peter, Children's Mercy HospitalFollow

Document Type

Article

Publication Date

2-1-2017

Identifier

DOI: 10.1016/j.suc.2016.08.009

Abstract

Appendicitis is one of the most common surgical pathologies in children. It can present with right lower quadrant pain. Scoring systems in combination with selective imaging and surgical examination will diagnose most children with appendicitis. Clinical pathways should be used. Most surgical interventions for appendicitis are now almost exclusively laparoscopic, with trials demonstrating better outcomes for children who undergo index hospitalization appendectomies when perforated. Nonoperative management has a role in the treatment of both uncomplicated and complicated appendicitis. This article discusses the workup and management, modes of treatment, and continued areas of controversy in pediatric appendicitis.

Journal Title

The Surgical clinics of North America

Volume

97

Issue

1

First Page

93

Last Page

112

MeSH Keywords

Appendectomy; Appendicitis; Child; Humans; Laparoscopy

Keywords

Abdominal pain; Appendectomy; Appendicitis; Children; Nonoperative management; Right lower quadrant; Surgery

Recommended Citation

Rentea RM, St Peter SD. Pediatric Appendicitis. Surg Clin North Am. 2017;97(1):93-112. doi:10.1016/j.suc.2016.08.009