Appendicitis, Pediatric

Reviewed 06/2017
 


Basics

Description

Acute inflammation or infection of the vermiform appendix 

Epidemiology

  • Most common surgical emergency of childhood

  • Affects 5 of 100,000 persons in the United States

  • 293,000 admissions i...

Diagnosis

Classic signs and symptoms include right lower quadrant pain, anorexia, nausea and vomiting, and fever. 

History

  • Abdominal pain is most common symptom.

  • Pain usually begins in the periumbilical ...

Treatment

General Measures

  • IV fluids to correct hypovolemia, electrolyte abnormalities

  • Broad-spectrum antibiotics

  • Pain medications

Surgery/Other Procedures

  • Emergency appendectomy

    • Laparoscopic technique is n...

Ongoing Care

Prognosis

  • Recovery is rapid.

  • Prognosis is excellent.

  • Overall current survival rate in United States is 98%.

  • It is estimated that 35,000 people die yearly from appendicitis worldwide.

Complications

Additional Reading

  • Bansal  S, Banever  GT, Kerrer  FM, et al. Appendicitis in children less than 5 years old: influence of age on presentation and outcome. Am J Surg.  2012;204(6):1031–1035. [Vie...

Codes

ICD09

  • 541 Appendicitis, unqualified

  • 540.9 Acute appendicitis without mention of peritonitis

  • 540.0 Acute appendicitis with generalized peritonitis

  • 540.1 Acute appendicitis with peritoneal abscess

ICD10

FAQ

  • Q: What were historical milestones in the treatment of appendicitis?

  • A: In 1735, Dr. Claudius Amyand performed an appendectomy in a situation of an appendicitis within a right inguinal hernia (this...

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