Clinical Study of Appendicitis and Complication in Treatment in Paediatric Patients

Appendicitis and Complication in Treatment in Paediatric Patients

  • Rajesh Gouri AssociateProfessor, Department of Surgery, Pacific Medical College & Hospital, Udaipur, Rajasthan, India
  • Prakash Galani Professor, Department of Surgery, Gujarat Adani Institute of Medical Science, Bhuj, Kutch, Gujarat, India
Keywords: Appendix, paediatric, Complications, Clinical features

Abstract

Background: Regardless of where and with what frequency it occurs, appendicitis remains an enigma – a simple disease that, despite our best efforts, remains the most commonly misdiagnosed surgical emergency. Appendicitis continues to cause significant morbidity and still remains, although rarely, a cause of death. Hence the aim to find out among children admitted with clinical diagnosis of acute appendicitis.Subjects and Methods:This work included the study of children below 12 years of age admitted to the medical hospital with clinical diagnosis of acute appendicitis. Minimum of 200 cases over the scheduled period Methods: - Patients admitted with symptoms pertaining to the acute appendicitis were studied.Results:Maximum cases were found in the age group of 13 – 16 years. Males’ prominence was found in the study. All the patients had abdominal pain, fever and vomiting were the next common clinical symptoms. Less frequent clinical symptoms were constipation and diarrhoea. Few patients had anorexia too.Conclusion: Clinical accuracy in diagnosis is 100 % by comparing with the histopathological examination of all removed appendix specimens.No negative appendectomies.  Postoperative complications are less frequent in children.  Thorough history taking, evaluation of the clinical symptoms and signs combined with the specific tests can improve the diagnostic accuracy and significantly reduce the rate of negative appendectomy.

Published
2019-12-16
Section
Articles