Appendicitis is the most common condition in children requiring emergency abdominal surgery. The key to a successful outcome is early diagnosis followed by appendectomy before gangrene or perforation develops.
Read moreThe appendix arises from the cecum, which is located in the right lower quadrant of the abdomen in the vast majority of children. It may lie in the upper abdomen or on the left side in children with congenital abnormalities of intestinal position and after repair of diaphragmatic hernia, gastroschisis, omphalocele, and Ladd's procedure for malrotation.
Read moreAppendicitis is caused by obstruction of the appendiceal lumen. Fecal material, undigested food, other foreign material, an enlarged lymphoid follicle in the epithelial lining, a tumor, or a bend or twist of the organ itself may all be responsible. The obstruction causes colic, which in turn produces the poorly localized abdominal pain typical of early appendicitis. It also causes the appendiceal lumen to dilate and its wall to thicken.
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