Characteristics of Perforated Appendicitis: Effect of Delay Is Confounded by Age and Gender

Augustin, Toms; Cagir, Burt; VanderMeer, Thomas J.

doi:10.1007/s11605-011-1486-x

Cited by 82 publications

(99 citation statements)

References 27 publications

(36 reference statements)

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“…As found by others [1,5,11,12], girls had a significantly higher frequency of negative appendectomies. Of note, despite no difference in time to appendectomy, boys had a higher perforation frequency, which has been reported in adult men before [13,14], but not in boys [12]. It could be speculated to be related to different immune responses or differences in the intestinal connective tissue between the genders.…”

Section: Discussionmentioning

confidence: 77%

Appendicitis in children from a gender perspective

et al. 2015

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In children with appendicitis, there are some gender differences. Girls had negative appendectomies more often, despite having more preoperative imaging and they had operative complications more frequently, despite having less frequent perforations. Boys had a higher frequency of perforation even though their time to appendectomy equaled that of girls. These findings and the reasons behind them must be further studied.

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Section: Discussionmentioning

confidence: 77%

Appendicitis in children from a gender perspective

et al. 2015

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“…[14][15][16] Barreto et al [8] have found that male sex and being older than 60 are significantly associated with a risk of perforation. Augustin et al [17] have obtained the same results in patients older than 50. Similarly, Sulu et al [18] have found that the perforation rate is higher in elderly patients.…”

Section: Discussionmentioning

confidence: 56%

A prospective clinical study of the effects of the physical features of the appendix on perforation

Tanrıkulu

Yılmaz

Tanrıkulu

et al. 2015

Ulus Travma Acil Cerrahi Derg

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“…17 About 50% of the children with complicated appendicitis had a leucocyte count of more than 15,000 cells/mm.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of early surgical management of complicated appendicitis in children

Pramod¹,

Kumar²

2018

Int J Contemp Pediatr

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Background: Appendicitis is the most common surgical emergency in children. Nearly 30% of children present with complicated appendicitis. Controversy exists between early or delayed surgery in complicated appendicitis. Present study was done to evaluate the outcome of early surgical management of complicated appendicitis in children and also to analyze risk factors for complicated appendicitis.Methods: A retrospective observational study conducted by the department of Paediatric Surgery, KIMS, hospital Bangalore. All children with complicated appendicitis (perforated, gangrenous and mass) from October 2014 to October 2017 were included in the study. Clinical, biochemical and imaging findings of these children were tabulated. Children underwent either open or laparoscopic appendectomy. Intra operative data regarding the type of complication, presence or absence of Fecolith, position of appendix was documented. Post operatively duration of stay and complications were analyzed.Results: 47 children were included in the study. Mean age of presentation was 10.38±2.84 years. Most common presentation was pain abdomen. 65% of the patient had pain abdomen for duration of three days or more. Total leucocyte count of more than 15000 was seen in about 50% of the children. 68% of children underwent laparotomy, 23.5% underwent laparoscopic appendectomy. Intra operatively, perforation of the appendix with generalized peritonitis was the commonest finding. Fecolith was present in 32% of the cases. Mean duration of stay was 7.46 days. Wound infection was seen in 15% of the children. Late complication in the form of adhesive obstruction was seen in 5 patients.Conclusions: Complicated appendicitis is associated with high morbidity. High leucocyte count, delayed presentation and Fecolith are possible indicators of complicated appendicitis. Early surgery in complicated appendicitis is safe, feasible. The complication rate is acceptable and most of them can be managed conservatively. Hence early surgery in complicated appendicitis is an option to be considered.

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Characteristics of Perforated Appendicitis: Effect of Delay Is Confounded by Age and Gender

Cited by 82 publications

References 27 publications

Appendicitis in children from a gender perspective

Appendicitis in children from a gender perspective

A prospective clinical study of the effects of the physical features of the appendix on perforation

Outcomes of early surgical management of complicated appendicitis in children

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