title: [The syndrome of the fifth postoperative day after appendicectomy (author's transl)].
abstract: 41 children were subjected to re-laparotomy because of obstruction after appendectomy. The causes were entero-colitis, occlusive ileus, rupture of the bowel and suture insufficiency. In this paper we report 6 children who had none of these complications. In these 6 children a "5-day syndrome" consisted usually of a fatal outcome with severe general peritonitis without a leakage of the appendix stump. Infection caused the endogenous spread of Bacteroides, following paralytic ileus and septicaemia. Early therapy with antibiotics and eventual re-laparotomy is then necessary.
mesh_terms: D000293:Adolescent; D001062:Appendectomy; D001064:Appendicitis / Q000601:surgery; D001442:Bacteroides Infections / Q000601:surgery; D002648:Child; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000601:surgery; D008297:Male; D010538:Peritonitis / Q000601:surgery; D011183:Postoperative Complications / Q000601:surgery*; D013530:Surgical Wound Infection / Q000601:surgery
vernacular_title: Das Syndrom des 5. postoperativen Tages nach Appendektomie.