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Acute Appendicitis in Children
E. THOMAS BOLES, Jr., M.D.;
RICHARD J. IRETON, M.D.;
H. WILLIAM CLATWORTHY, Jr., M.D.
AMA Arch Surg. 1959;79(3):447-454.
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Early diagnosis of acute appendicitis in the preschool child and management of the child with peritonitis secondary to perforation are the basic clinical problems of this disease in the childhood age group. Although the mortality over the past three decades has progressively decreased to a very low level, the deaths which still occur are almost exclusively in very young children, diagnosed late and with peritonitis. In addition the morbidity, as reflected in the incidence of complications and prolonged hospitalization, is largely confined to patients with perforation. Diagnosis of acute appendicitis in the young child before perforation occurs can be improved by careful and thoughtful appraisal of the child with abdominal symptoms, by hospitalization with frequent evaluation of patients in whom the diagnosis is in doubt, and by expert interpretation of abdominal x-rays in such patients. Successful management of seriously ill children with perforation and peritonitis depends on intensive treatment to
. . . [Full Text PDF of this Article]
Author Affiliations
Columbus, Ohio
From the Department of Surgery, The Ohio State University College of Medicine and the Department of Pediatric Surgery, The Children's Hospital.
Footnotes
Submitted for publication Feb. 27, 1959.
Read at the 16th Annual Meeting of the Central Surgical Association, Montreal, Feb. 21, 1959.
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