ArticleJournal of Indian Association of Pediatric Surgeons
Appendicolith is Associated with Protracted Abdominal Pain and a High Risk of Appendicular Perforation in Pediatric Appendicitis.
Article in Journal of Indian Association of Pediatric Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: An appendicolith is a hard fecal concretion that can obstruct the appendix, leading to acute appendicitis. This study aimed to determine the prevalence of appendicoliths in pediatric patients with acute and complicated appendicitis. Secondarily, we aimed to evaluate its association with appendicular perforation peritonitis in pediatric patients. Materials and Methods: This ambispective observational study was conducted from 2018 to 2023 in a pediatric surgery tertiary care teaching institute. The selected patients ( Results: Out of 181 patients, there were 129 males and 52 females (M: F = 2.48:1). The average age of the patients was 7.75 ± 3.35 years. The mean duration of symptoms was 3.62 ± 2.44 days. The mean leukocyte count was 14.24 ± 6.01 × 10 Conclusion: The presence of an appendicolith is associated with prolonged abdominal pain and higher rates of appendicular perforation in pediatric patients with acute appendicitis. The size of the largest appendicolith ≥5 mm is an exacerbating factor for appendicular perforation peritonitis.
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