[Diagnosis of appendicitis in early childhood].
89 preschool children, 2-4 years old, treated under the diagnosis of appendicitis were analyzed, 46 of them were operated. In 40% of those children the diagnosis of an acute nonperforated appendicitis could have been ensured, in 40% the diagnosis of a perforated appendicitis was found, in 20% the laparotomy was negative. In cases of an acute nonperforated appendicitis typical symptoms were vomiting (100%), general stomach-ache (89%) and fever (61%). In most cases of an perforated appendicitis the state of patients was reduced drastically (80%), in 50% an ileus could be observed. Duration of anamnesis was less than 24 hours with all the children who suffered from acute nonperforated appendicitis and with one fourth of the children suffering from perforated appendicitis.
Jobst
M
M
Klinik für Chirurgie, Heinrich-Braun-Krankenhaus Zwickau, Akademisches Lehrkrankenhaus der Universität Leipzig.
D000208:Acute Disease; D001064:Appendicitis / Q000175:diagnosis* / Q000601:surgery; D002675:Child, Preschool; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis / Q000601:surgery; D008297:Male; D012422:Rupture, Spontaneous