Chronic appendicitis in children.
OBJECTIVE
While the diagnosis of acute appendicitis is relatively straightforward, chronic appendicitis is an entity that can be controversial and is often misdiagnosed. How and when should clinicians be investigating chronic appendicitis as a cause of chronic and recurrent abdominal pain in the pediatric population?


CONCLUSIONS
Chronic appendicitis is a long-standing inflammation or fibrosis of the appendix that presents clinically as prolonged or intermittent abdominal pain. It is often a challenging diagnosis and might result in complications such as intra-abdominal infections or bowel obstruction or perforation. Clinical presentation, along with imaging studies, can help the clinician rule out other conditions, and among those who are diagnosed, for many children, appendectomy results in partial or complete resolution of pain symptoms.
David
D
Kim
Sonia A
SA
Butterworth
Ran D
RD
Goldman
D015746:Abdominal Pain / Q000209:etiology; D000293:Adolescent; D001062:Appendectomy; D001064:Appendicitis / Q000000981:diagnostic imaging* / Q000453:epidemiology* / Q000601:surgery*; D002648:Child; D002908:Chronic Disease; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D006801:Humans; D007415:Intestinal Obstruction / Q000000981:diagnostic imaging; D008279:Magnetic Resonance Imaging; D012008:Recurrence; D014057:Tomography, X-Ray Computed; D014463:Ultrasonography