• Shawn D. Safford


Appendicitis is the most common indication for abdominal surgery in children. Most patients present with abdominal pain and about one third of children with symptoms and signs that suggest the possibility of appendicitis require admission. The lifetime risk of developing appendicitis is approximately 9% in males and 7% in females. The peak incidence of appendicitis in children occurs in early adolescence and it is exceedingly rare in children under 2 years of age. Children less than 5 years of age typically present with nonspecific symptoms and have a much higher incidence of perforated appendicitis.


Acute Appendicitis Laparoscopic Appendectomy Open Appendectomy Perforated Appendicitis White Blood Count 
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Suggested Reading

  1. Adibe OO, Barnaby K, Dobies J, Comerford M, Drill A, Walker N, et al. Postoperative antibiotic therapy for children with perforated appendicitis: long course of intravenous antibiotics versus early conversion to an oral regimen. Am J Surg. 2008;195(2):141–3.CrossRefPubMedGoogle Scholar
  2. Frush DP, Donnelly LF, Rosen NS. Computed tomography and radiation risks: what pediatric health care providers should know. Pediatrics. 2003;112:951–7.CrossRefPubMedGoogle Scholar
  3. Henry MC, Walker A, Silverman BL, Gollin G, Islam S, Sylvester K, et al. Risk factors for the development of abdominal abscess following operation for perforated appendicitis in children: a multicenter case-control study. Arch Surg. 2007;142(3):236–41.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2011

Authors and Affiliations

  1. 1.Department of SurgeryNational Naval Medical CenterBethesdaUSA

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