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2009, Number 1

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Rev Fac Med UNAM 2009; 52 (1)

Acute appendicitis in childhood

Torres BA, Neri MMC, San Germán TLMC
Full text How to cite this article

Language: Spanish
References: 11
Page: 5-7
PDF size: 92.93 Kb.


Key words:

Appendicitis, diagnosis, signs and symptoms, complications.

ABSTRACT

Introduction: Acute appendicitis is one of the main causes of acute abdomen in the pediatric age; it is important to diagnose it early to avoid post surgical complications. Objectives: To determine the more frequent symptoms associate in the pediatric age. Results: From 53 patients, 30 of the male sex and 23 female sex, the signs and symptoms more frequent are: sign of Mc Burney 94.3%, pain in fossa iliac right 81.1%, nausea 81.1%, vomit 76.6%, and fever 71.7%. Diarrhea and disuria can also be present in smaller frequency in spite of being atypical signs. The postsurgical complications found were: paralytic ileo 26.4%, abscesses 15% and intestinal perforation 11.3%.


REFERENCES

  1. Michael W, Martin M, Julie A et al. Acute appendicitis in children: the importance of family history. Journal of Pediatrics Surgery 2001; 36(8): 1214-1217.

  2. Nina A, Arthur Jr, Mary R et al. How time affects the risk of rupture in appendicitis. American College of Surgeons 2006; 202: 401-406.

  3. Vázquez RMA, Monteruel E, García NE y cols. Apendicitis aguda en la infancia. Factores asociados al retraso diagnóstico. Urgencias de Pediatría. Hospital de Cruces. Baracaldo 2006; 18: 151-155.

  4. Nieto J, Montes F. Apendicitis Aguda. En: Valencia FP. Hospital Infantil de México «Urgencias en pediatría». México D.F. McGraw-Hill. 2003: 1051-1054.

  5. Mendoza R, Alonso F. Apendicitis en edades pediátricas. Cirujano general 2005; 27(3): 237-243.

  6. Behrman ER, Kliegman MR, Jonson BR y col. Apendicitis aguda. Nelson Tratado de Pediatría. Madrid España, Elsevier 2005: 1285-1283.

  7. Ivanhoe A, Gamboa O, Vázquez A, Lorenzana E. Fondo genético probable de la apendicitis aguda. Cirugía y Cirujanos Universidad Popular Autónoma del estado de Puebla 2000; 68(4): 148-153.

  8. Rivera C, Fernando A, Peters H. Innate immunity genes influence the severity of acute appendicitis. Annals of Surg 2004; 240(2): 277-269.

  9. Ashcraft K, Holder T. Cirugía pediátrica, apendicitis, México: McGraw-Hill, Segunda Edición, 1995; 39: 484-491.

  10. Colvin JM, Bachur RM. The presentation of appendicitis in preadolescent children. Pediatric Emergency 2007; 23(12): 849-855.

  11. Vargas A, López S, Ramírez D, Rodríguez A, Fernández E. Apendicitis, factores de riesgo que influyen en el retraso del tratamiento. Cirugía General del Hospital General de México 2001; 23(3): 154-157.




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Rev Fac Med UNAM . 2009;52