Downloads
Abstract
Objectives: To determine the relationship of some clinical and subclinical factors with acute complicated appendicitis in children.
Methods: A total 120 pediatric patients who diagnosed with acute appendicitis based on clinical characteristics, laboratory tests (white blood cell count) and ultrasound results underwent appendectomy. The operative findings were determined as: uncomplicated appendicitis and complicated appendicitis. Clinical and subclinical factors were compared between the two groups of complicated and uncomplicated appendicitis to find the related factors. Results: Related factors of acute complicated appendicitis in children were: age ≤ 5, taking the drug before admission (antipyretic, analgesic, antibiotic), time from onset to hospital admission ≥ 24 hours, WBC count> 15 × 109 / L, with appendic stool stones. The relationship between sex, geography, appendix location and complicated appendicitis were not significant.
Conclusion: The diagnosis of appendicitis in children requires a combination of clinical symptoms, laboratory tests and abdominal ultrasound, especially in the case of atypical clinical manifestations. Early diagnosis, especially in young children is needed to reduce the rate of complicated appendicitis.
References
Phan Văn Lình. Ruột thừa viêm cấp. Trong: Ngoại Bệnh Lý tập 1. Nhà xuất bản Y học, 96-108. 2008.
Naiditch JA, Lautz TB, Daley S, Pierce MC, Reynolds M. The implications of missed opportunities to diagnose appendicitis in children. Acad Emerg Med, 2013; 20:592-6.
Reynolds SL. Missed appendicitis in a pediatric emergency department. Pediatr Emerg Care, 1993; 9:1-3.
Phùng Đức Toàn. Nghiên cứu đặc điểm lâm sàng, cận lâm sàng và kết quả điều trị phẫu thuật nội soi viêm phúc mạc ruột thừa ở trẻ em tại Bệnh viện Nhi Trung Ương. Luận văn thạc sĩ y học, Đại học Y Dược Hà Nội. 2010.
Bùi Chín. Nghiên cứu đặc điểm lâm sàng-cận lâm sàng và ứng dụng thang điểm Linberg cải tiến để chẩn đoán viêm ruột thừa trẻ em. Luận án chuyên khoa cấp II, Đại học Y Dược Huế. 2004.
Ngô Thị Hoa. Nghiên cứu đặc điểm lâm sàng và cận lâm sàng của bệnh viêm ruột thừa cấp ở trẻ em. Luận văn bác sĩ nội trú, Đại học Y Dược Huế. 2015.
Singh M, Kadian YS, Rattan KN, Jangra B. Complicated appendicitis: Analysis of risk factors in children. Afr J Paediatr Surg, 2014; 11:109-13.
Bộ Y tế. Viêm ruột thừa ở trẻ em. Trong: Cấp cứu ngoại khoa Tập 1. Nhà xuất bản Giáo dục Việt Nam, 486-496. 2021.
Salo M, Friman G, Stenstrom P, Ohlsson B, Arnbjornsson E. Appendicitis in children: Evaluation of the pediatric appendicitis score in younger and older children. Surg Res Pract, 2014; 2014:438076.
Nguyễn Hữu Chí, Võ Hà Nhật Thúy, Đào Trung Hiếu. Đặc điểm lâm sàng và siêu âm viêm ruột thừa ở trẻ dưới 3 tuổi phẫu thuật tại Bệnh viện Nhi Đồng 1. Tạp chí Y học TP Hồ Chí Minh, số 15(3), 88-92. 2011.
Marzuillo P, Germani C, Krauss BS, Barbi E. Appendicitis in children less than five years old: A challenge for the general practitioner. World J Clin Pediatr, 2015; 4:19-24.
Virmani S, Prabhu PS, Sundeep PT, Kumar V. Role of laboratory markers in predicting the severity of acute appendicitis. Afr J Paediatr Surg, 2018; 15:1-4.
Pham XD, Sullins VF, Kim DY, Range B, Kaji AH, de Virgilio CM, et al. Factors predictive of complicated appendicitis in children. J Surg Res, 2016; 206:62-66.
Ohmann C, Yang Q, Franke C. Diagnostic scores for acute appendicitis. Abdominal Pain Study Group. Eur J Surg, 1995; 161:273-81.
Poudel R, Bhandari TR. Risk factors for complications in acute appendicitis among pediatric populations. JNMA J Nepal Med Assoc, 2017; 56:145-148.
Blumfield E, Nayak G, Srinivasan R, Muranaka MT, Blitman NM, Blumfield A, et al. Ultrasound for differentiation between perforated and nonperforated appendicitis in pediatric patients. AJR Am J Roentgenol, 2013; 200:957-62.
Yoon HM, Kim JH, Lee JS, Ryu JM, Kim DY, Lee JY. Pediatric appendicitis with appendicolith often presents with prolonged abdominal pain and a high risk of perforation. World J Pediatr, 2018; 14:184-190.
Kulvatunyou N, Zimmerman SA, Joseph B, Friese RS, Gries L, O’Keeffe T, et al. Risk factors for perforated appendicitis in the acute care surgery era: Minimizing the patient’s delayed presentation factor. J Surg Res, 2019.
| Published | 27-04-2021 | |
| Fulltext |
|
|
| Language |
|
|
| Issue | No. 68 (2021) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.2021.68.10 | |
| Keywords | Ruột thừa viêm, trẻ em, biến chứng, yếu tố liên quan Appendicitis, children, complications, related factors |
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright (c) 2025 Journal of Clinical Medicine Hue Central Hospital