Table 1: Classic signs and symptoms reported in the literature in cases of acute appendicitis in children under three years of age. |
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Signs and symptoms |
Neonates (%) |
Infants < 2 years (%) |
From 2 to 3 years (%) |
Abdominal distention |
60-90 |
30-52 |
85-90 |
Vomiting |
59 |
85-90 |
— |
Palpable mass |
20-40 |
— |
— |
Irritation/lethargy |
22 |
35/40 |
— |
Cellulitis in the abdominal wall |
12-16 |
— |
— |
Hypotension |
√ |
— |
— |
Hypothermia |
√ |
— |
— |
Rgidity of the ight hip |
√ |
— |
— |
Breathing difficulty |
√ |
— |
35-81 |
Diffuse abdominal pain |
— |
35-77 |
40-60 |
Fever |
— |
40-60 |
18-46 |
Diarrhoea |
— |
18-46 |
— |
Hypersensitivity |
— |
92 |
— |
Pain localized to the right iliac fossa |
— |
< 50 |
— |
(√) = may be present; (-) = absent. |