Introduction: Appendicitis is the most common cause of the acute surgical abdomen in children. It accounts for approximately one-third of childhood hospital admissions for abdominal pain. Objectives: To audit the outcome of management of children presenting with abdominal pain suspicious of acute appendicitis. Patients and Methods: This is a retrospective study of 67 children admitted and treated for acute appendicitis in Kosti Teaching Hospital from January 2005 to December 2007. Symptoms, signs, details of management and results of follow up were studied. Results: Boys comprised 45 (67.16%). Age ranged from 4 -15 years (mean 11.13± 2.59) years. 44(65.67%) of children had acute, 16(23.88%) perforated appendicitis, 3(4.48%) appendiceal mass, appendix single patient (1.49%) had appendiceal abscess and 3(4.48%) normal. Five patients (7.46%) developed postoperative complications but no mortality was encountered. Conclusion: In spite of advances in means of diagnosis appendicitis remains a clinical diagnosis with excellent outcome if diagnosed and treated promptly.

Multiple pathologic fractures in a patient with sickle cell disease is rare; bone involvement is well documented in this disease, however multiple pathologic fractures as a complication are uncommon. We present a case involving a 19-month-old boy known to have sickle cell disease who developed multiple pathologic fractures as a complication of his disease. The patient was treated conservatively with excellent outcome.