Appendicitis in immunosuppressed children: Still a diagnostic and therapeutic dilemma?
- 27 February 2008
- journal article
- research article
- Published by Wiley in Pediatric Blood & Cancer
- Vol. 50 (6), 1282-1283
- https://doi.org/10.1002/pbc.21554
Abstract
Acute appendicitis in the immunosuppressed patients are often difficult to diagnose and are associated with increased morbidity and mortality. Recent debates on primary appendicitis and typhlitis-associated appendicitis have contributed to the diagnostic and therapeutic dilemma. We retrospectively reviewed all our immunosuppressed patients with appendicitis. The most frequent presenting symptom was fever followed by non-specific intermittent abdominal pain. The median delay in diagnosis was 4 days. CT scan was useful in making the diagnosis, but the presence of adjacent bowel thickening has contributed to the dilemma in diagnosis and treatment. Pediatr Blood Cancer 2008;50:1282–1283.This publication has 10 references indexed in Scilit:
- Failure in the nonoperative management of pediatric ruptured appendicitis: predictors and consequencesJournal of Pediatric Surgery, 2007
- Appendicitis in childhood hematologic malignancies: analysis and comparison with typhilitisJournal of Pediatric Surgery, 2005
- Significance of appendiceal thickening in association with typhlitis in pediatric oncology patientsPediatric Radiology, 2004
- Successful nonoperative management of typhlitis in pediatric oncology patientsJournal of Pediatric Surgery, 2002
- Plain radiography for diagnosis of gastrointestinal perforation in immune-compromised children—is it enough?Medical and Pediatric Oncology, 1995
- Acute appendicitis in children with leukemia and other malignancies: Still a diagnostic dilemmaJournal of Pediatric Surgery, 1992
- A Surgical PerspectiveAnnals of Surgery, 1987
- The medical and surgical management of typhlitis in children with acute nonlymphocytic (myelogenous) leukemiaCancer, 1986
- The acute abdomen in the immunologically compromised childJournal of Pediatric Surgery, 1983
- Management of the acute abdomen in children with leukemiaCancer, 1975