Synopsis in pediatric appendicitis | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2025, Issue 4, April 2025, Page 72-80 PDF (359.9 K) | ||||
| Document Type: Systematic Review | ||||
| DOI: https://doi.org/10.21608/aimj.2025.446504 | ||||
 View on SCiNiTO | ||||
| Author | ||||
Mohammad Alsayed Daboos  
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| Pediatric Surgery Department, Al-Azhar University Hospitals, Cairo, Egypt. | ||||
| Abstract | ||||
| Abstract The majority of children who require emergency abdominal surgery have acute appendicitis. Clinical presentation in the pediatric population can be influenced by a number of factors, including symptoms that are not age-specific, symptoms that are not clearly explained, and symptoms that are actively exaggerated or diminished due to fear. Another factor that can affect a patient's symptom presentation capacity is their family. Because of these factors, it may be more difficult to diagnose acute appendicitis in children compared to adults. Radiological examinations, such as computed tomography and ultrasound, can be helpful in cases where clinical characteristics do not yield a definitive diagnosis. Preschoolers should be treated with extreme caution since they often have unusual symptoms and more severe forms of appendicitis. Diagnostic sensitivity and specificity are lacking in laboratory studies. In most circumstances, it is appropriate to proceed with rapid surgery after fluid resuscitation and broad-spectrum antibiotic therapy following a diagnosis. It is possible that the optimal course of action for patients with appendix masses is to begin non-operative treatment with antibiotics and then undergo interval appendectomy. Controlling postoperative discomfort, ileus, returning to diet, and length of hospital stay are all areas where laparoscopic appendectomy excels over open appendectomy. As a result, it is quickly replacing other surgical options for appendicitis. | ||||
| Keywords | ||||
| Pediatric Surgery; Open Appendectomy; Laparoscopic Appendectomy | ||||
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