medigraphic.com
ISSN 1727-897X (Electronic)

2013, Number 2

<< Back Next >>

Medisur 2013; 11 (2)

Acute Appendicitis in Infants. A Case Report

González LSL, López CR, Quintero DZ, Cortiza OGM, Fonseca RBE, Ponce RY

Language: Spanish
References: 9
Page: 201-205
PDF size: 225.53 Kb.


ABSTRACT

Acute appendicitis is more common in school-age children, but it rarely occurs in infants. The younger the patient, the fastest the course of the disease. In addition, there are greater risks of complications. A case of a nine-month-old infant, admitted to the pediatric hospital with fever and diarrhea, is presented. After several tests, he underwent surgery. Peritonitis caused by acute gangrenous appendicitis was diagnosed. While the patient was in the intensive care unit, he suffered a septic shock and acute multiple organ failure. As a result, he died 24 hours later. The biopsy confirmed the diagnosis of acute gangrenous appendicitis. Acute appendicitis is a disease that must be considered by doctors who treat infants with fever, diarrhea and abdominal pain related to irritability. Thus, an early diagnosis of the disease as well as the implementation of an appropriate surgical treatment can be performed.


REFERENCES

  1. Plus I, Isaac O. Acute appendicitis in young children-a diagnostic challenge. CMS UNIBEN JMBR [revista en Internet]. 2006 [ cited 10 Abr 2011 ] ; 5 (2): [aprox. 9p]. Available from: http://www.bioline.org.br/pdf?jm06018.

  2. Vissers RJ, Lennarz WB. Pitfalls in Appendicitis. Emerg Med Clin North Am. 2010 ; 28 (1): 103-18.

  3. Phatak TD, Pollock AN. Clinical impression: intussusception: an abdominal ultrasound is obtained: Surprise. Pediatr Emerg Care. 2010 ; 26 (8): 611-2.

  4. Alloo J, Gerstle T, Shilyansky J, Ein SH. Appendicitis in children less than 3 years of age: a 28-year review. Pediatr Surg Int. 2004 ; 19 (12): 777-9.

  5. Acheson J, Banerjee J. Management of suspected appendicitis in children. Arch Dis Child Educ Pract Ed. 2010 ; 95 (1): 9-13.

  6. Carlisle E, Statter MB. Surgical Conditions Presenting with Diarrhea. In: Guandalini S, Vasiri H. Diarrhea, Clinical Gastroenterology. New York: Editorial Springer; 2011.

  7. Chang YJ, Kong MS, Hsia SH, Wu CT, Lai MW, Yan DC. Usefulness of Ultrasonography in Acute Appendicitis in Early Childhood. J Pediatr Gastroenterol Nutr. 2007 ; 44 (5): 592-5.

  8. Vinocur DN, Lee EY. Imaging of Acute Appendicitis in Children: Radiography. In: Keyzer C, Gevenois PA. Medical Radiology. Berlin: Editorial Springer; 2012.

  9. Spencer AJ, Saettele MR, Lowe LH. Imaging of Acute Appendicitis in Children: Computed Tomography Including Radiation Issues. Medical Radiology. 2012 165-175.




2020     |     www.medigraphic.com