Acute appendicitis in infants thirty-six months of age or younger

Fields, Irving A.; Cole, Norman M.

doi:10.1016/0002-9610(67)90235-8

Cited by 23 publications

(6 citation statements)

References 5 publications

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“…Although it is very common in children, it is rare in infants and even more in neonates 2 3 , 4 Some authors have attributed the low incidence in this population to the lack of prominent lymphoid tissue in infancy 1 2 The rates of appendicitis in our series was 2.9% in infants/toddlers and 13.4% in preschoolers, which are higher than those reported in other studies 5 …”

Section: Discussioncontrasting

confidence: 47%

“…Although the improvements on the quality of care and the development of enhanced diagnostic tools, appendicular rupture continues to be a common occurrence in the young children 4 . An early and accurate diagnosis in infants is difficult because of the limited communication and the variability in clinical course 1 …”

Section: Introductionmentioning

confidence: 99%

“…An early and accurate diagnosis in infants is difficult because of the limited communication and the variability in clinical course 1 2 , 3 , 4 …”

Section: Introductionmentioning

confidence: 99%

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Pediatric Appendicitis: Age Does Make a Difference

Aneiros

Cano

García

et al. 2019

Rev. paul. pediatr.

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Objective: To investigate the influence of patient age on the diagnosis and management of appendicitis, as well as to evaluate the rate of complications according to the age group.Methods: We undertook a retrospective analysis of 1,736 children who underwent laparoscopic appendectomy in our center between January 2000 and December 2013. Patients were divided in groups taken into account their age: group A were infants, group B were preschoolers, group C were those ones older than five years old, and group D were those ones younger than five years old. A p value of 0.05 was considered statistically significant.Results: We found higher incidence of misdiagnosis and atypical symptoms in the youngest patients. The rate of perforation was similar between group A and B (p=0.17). However, it was higher in group D than in group C (p<0.0001). The incidence of postoperative complications was higher in the youngest patients too (p=0.0002).Conclusions: The age does make a difference in acute appendicitis. Because of its unusual presentation in children younger than five years old, it is often misdiagnosed, which leads to an increased morbidity. Although clinical presentation varies between infants and preschoolers, no statistically significant differences were observed in the rate of perforated appendix or postoperative complications.

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Section: Discussioncontrasting

confidence: 47%

Section: Introductionmentioning

confidence: 99%

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Pediatric Appendicitis: Age Does Make a Difference

Aneiros

Cano

García

et al. 2019

Rev. paul. pediatr.

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“…Higher mortality rates have already been described in patients at the extremes of life, who have an increased risk of perfora tion at the time of admission to hospital [94,96,97]. In a consecutive series of 1,013 appendicectomies for presumed acute ap pendicitis between 1976 and 1978, the diag nosis was correct in 85% and perforation had occurred in 19% [107]; there was only 1 death (mortality rate 0.1 %).…”

Section: Complications Of Appendicitis and Appendicectomymentioning

confidence: 99%

“…91], In babies the problem is particularly acute. 75% being perforated on admission [81,94], Fields et al [81] and Fields and Cole [94] reviewed their experi ence in 68 infants under 36 months of age. The perforation rate remained unchanged over a 20-year-old period (ending in 1963), but the mortality rate decreased from 13 to 7%, still by no means acceptable.…”

Section: Interval Appendicectomymentioning

confidence: 99%