Clinical Manifestations in Children With Ruptured Appendicitis
Pediatric Emergency Care, 05/15/2012
Hung MH et al. – Younger age, longer duration of abdominal pain, fever, muscle guarding, and elevated C–reactive protein level are significantly associated with a perforated appendix; these factors should be closely considered in the evaluation of individuals with suspected appendicitis.
The medical records of children aged 17years or younger with a postoperative diagnosis of acute appendicitis treated at Cathay General Hospital, Taipei, Taiwan, from January 2002 and May 2009, were retrospectively reviewed.
The patients were divided into with and without ruptured appendicitis.
Of the 228 patients, 140 had a postoperative pathological diagnosis of a nonperforated appendix, and 88 had a diagnosis of perforated appendix, resulting in a perforation rate of 38.6%.
Younger age, longer duration of abdominal pain, fever, muscle guarding, and elevated C-reactive protein level were significantly associated with a perforated appendix.
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