ArticleWorld journal of emergency surgery : WJES2018
Nonoperative management of appendiceal phlegmon or abscess in children less than 3 years of age.
Article in World journal of emergency surgery : WJES, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 11 citations in OpenAlex.
- Treatment pathways and outcomes for pediatric complex appendicitis patients presenting beyond 3 days: A retrospective cohort study.Langenbeck's archives of surgery · 2026Article
- Nonoperative treatment of neonatal appendicitis.BMC pediatrics · 2025Article
- Non-operative treatment strategy for appendiceal abscess in children under 3 years old: a retrospective observational study.Frontiers in pediatrics · 2023Article
- Management of complicated acute appendicitis in children: Still an existing controversy.World journal of gastrointestinal surgery · 2020Review
- Appendicolith is Associated with Protracted Abdominal Pain and a High Risk of Appendicular Perforation in Pediatric Appendicitis.Journal of Indian Association of Pediatric SurgeonsArticle
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: In children less than 3 years of age, there is little experience in the nonoperative management of appendiceal phlegmon or abscess (APA), especially in APA with an appendicolith. The purposes of this study were to evaluate the effects of an appendicolith and the success rate of nonoperative management for APA in these young children. Methods: Children younger than 3 years of age with APA who underwent attempted initial nonoperative treatment between January 2008 and December 2016 were reviewed. Based on the presence or absence of an appendicolith on admission ultrasonography examination or computed tomography scan, children were divided into two groups: appendicolith group and no appendicolith group. Results: There were 50 children who met the study criteria. Among 50 children, three children failed to respond to nonoperative treatment because of aggravated intestinal obstruction or recurrent appendicitis within 30 days of admission. The overall success rate for nonoperative management of APA was 94% (47/50) in children younger than 3 years old. The rate of diarrhea and CRP levels were higher in the appendicolith group than that of the no appendicolith group ( Conclusion: APA with or without an appendicolith can have nonoperative management without immediate appendectomy in children less than 3 years old.
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