Blanco FJA, Alcaraz SJ, Zamora GR

Language: Spanish
References: 8
Page: 44-45
PDF size: 117.62 Kb.

ABSTRACT

Male patient was 15 years old presented abdominal pain 5 days ago. On physical examination,only had abdominal pain localized on the right iliac fossa. Laboratories had leukocytosis with neutrophilia 13.3 × 109/L and abdominal X ray showed calcified lito on appendicular topography. Exploratory laparotomy was performed, intraoperative findings were abscessed and perforated appendix with free fecalito around 2 cm. He recovered without complications and was discharged 4th day.

REFERENCES

1. Van Breda Vriesman AC, Kole BJ, Puylaert JB. Effect of ultrasonography and optional computed tomography on the outcome of appendectomy. Eur Radiol. 2003;13:2278-82.

2. Pena BM, Taylor GA, Lund DP, Mandl KD. Effect of computed tomography on patient management and costs in children with suspected appendicitis. Pediatrics. 1999;104(3 Pt 1):440-6.

3. Hormann M, Paya K, Eibenberger K, Dorffner R, Lang S, Kreuzer S, et al. MR imaging in children with nonperforated acute appendicitis: value of unenhanced MR imaging in Sonographically selected cases. AJR Am J Roentgenol. 1998;171:467-70.

4. Rothrock SG, Green SM, Hummel CB. Plain abdominal radiography in the detection of major disease in children: a prospective analysis. Ann Emerg Med. 1992;21:1423-9.

5. Newman K, Ponsky T, Kittle K, Dyk L, Throop C, Gieseker K, et al. Appendicitis 2000: variability in practice, outcomes, and resource utilization at thirty pediatric hospitals. J Pediatr Surg. 2003;38:372-9; discussion 372-9.

6. Nance ML, Adamson WT, Hedrick HL. Appendicitis in the young child: a continuing diagnostic challenge. Pediatr Emerg Care. 2000;16:160-2.

7. Ulukaya Durakbaşa C, Taşbaşi I, Tosyali AN, Mutus M, Sehiralti V, Zemheri E. An evaluation of individual plain abdominal radiography findings in pediatric appendicitis: results from a series of 424 children. Ulus Travma Acil Cerrahi Derg. 2006;12(1):51-8

8. Alaedeen DI, Cook M, Chwals WJ. Appendiceal fecalith is associated with early perforation in pediatric patients. J Pediatr Surg. 2008;43(5):889-92.