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Case Reports
. 2010:154:A1363.

[Acute appendicitis in very young children]

[Article in Dutch]
Affiliations
  • PMID: 20456802
Case Reports

[Acute appendicitis in very young children]

[Article in Dutch]
Saskia J M Kamphuis et al. Ned Tijdschr Geneeskd. 2010.

Abstract

Two girls, aged 8 months and 3 years respectively, presented with dehydration, vomiting and fever. The youngest girl was diagnosed first with gastroenteritis and was treated accordingly. Her condition deteriorated however, and she showed symptoms of a high bowel obstruction. Laparotomy revealed a perforated inflamed appendix. An intestinal invagination was suspected in the older girl, yet laparotomy revealed a perforated appendix. Appendicitis can be difficult to diagnose in very young children due to atypical presentation and age-related difficulties in communication. Most importantly, physicians must be aware that appendicitis may also occur in very young children. Although the Paediatric Appendicitis Score (PAS) is a helpful tool in diagnosing appendicitis in young children, a solid physical examination is most important. When in doubt, early surgical consultation is necessary to limit the delay in diagnosis and to prevent complications.

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