Document Detail

Appendicitis in infancy.
MedLine Citation:
PMID:  12721711     Owner:  NLM     Status:  MEDLINE    
Acute appendicitis is the most common cause of abdominal pain requiring surgery in children. But it is an uncommon entity in young children and rare in infants. During a 10-year period, between January 1991 and December 2000, 7 infants (age from 17 days to 8 months) were treated for acute appendicitis at Changhua Christian Hospital. All of the preoperative symptoms and signs, the duration between admission and operation, pathology reports, and laboratory data were reviewed. There were no specific clinical signs and symptoms. The duration between admission and operation ranged from 2 hours to 5 days (mean: 31.4 hours). The pathology reports revealed 3 were gangrenous, 3 were gangrenous with perforation and one was suppurative. There was one death. Pseudomonas aeruginosa was cultured from blood, ascites, bile or stool in 6 cases (85.7%). Early diagnosis of acute appendicitis in infants is still difficult. Although the mortality has declined, the morbidity still remains high. The high percentage of infection by Pseudomonas aeruginosa should be further evaluated in infantile appendicitis.
Y L Lin; C H Lee
Publication Detail:
Type:  Journal Article     Date:  2002-11-14
Journal Detail:
Title:  Pediatric surgery international     Volume:  19     ISSN:  0179-0358     ISO Abbreviation:  Pediatr. Surg. Int.     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-04-30     Completed Date:  2003-10-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8609169     Medline TA:  Pediatr Surg Int     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1-3     Citation Subset:  IM    
Division of Pediatric Surgery, Changhua Christian Hospital, No.135 Nanhsiau Street, Changhua, Taiwan, Republic of China.
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MeSH Terms
Acute Disease
Appendicitis / diagnosis,  surgery*
Infant, Newborn

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