title: Urological symptoms of acute appendicitis in childhood and early adolescence.
abstract: We present 15 cases of acute appendicitis in ten boys and five girls (age 3-15 years) with cardinal symptomatology coming from the urogenital tract, who were treated in our departments. All the patients presented with right renal colic, dysuria, frequency and urinary retention. The symptoms were attributed to an ongoing appendix inflammatory process in close proximity to the right distal ureter and urinary bladder. All the patients were successfully operated, and postoperative courses were uneventful. As the present patient group is the largest reported to date, a classification of the pathophysiology in relation to the clinical presentation is proposed.
authors.affiliation: Department of Pediatric Surgery, Democritus University of Thrace Medical School, Alexandroupolis, Greece. sgardik@duth.med.gr
authors.forename: Stefanos
authors.initials: S
authors.lastname: Gardikis
authors.forename: Stavros
authors.initials: S
authors.lastname: Touloupidis
authors.forename: Georgios
authors.initials: G
authors.lastname: Dimitriadis
authors.forename: Christos
authors.initials: C
authors.lastname: Limas
authors.forename: Spyros
authors.initials: S
authors.lastname: Antypas
authors.forename: Theodoros
authors.initials: T
authors.lastname: Dolatzas
authors.forename: Alexandros
authors.initials: A
authors.lastname: Polychronidis
authors.forename: Constantinos
authors.initials: C
authors.lastname: Simopoulos
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D001064:Appendicitis / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D001065:Appendix / Q000473:pathology; D002648:Child; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D012189:Retrospective Studies; D014570:Urologic Diseases / Q000175:diagnosis / Q000209:etiology*