Bansal S, Banever GT, Karrer FM, Partrick DA. Appendicitis in children less than 5 years old: influence of age on presentation and outcome. Am J Surg. 2012 Dec; 204(6):1031-5; discussion 1035.
In children less than 5 years old with appendicitis, age has a direct correlation to the stage of disease. The youngest children present with more advanced appendicitis but are less likely to develop postoperative abscesses.
Bagłaj M, Rysiakiewicz J, Rysiakiewicz K. Acute appendicitis in children under 3 years of age. Diagnostic and therapeutic problems. Med Wieku Rozwoj. 2012 Apr-Jun; 16(2):154-61.
1. Acute appendicitis in small children is a diagnostic problem not only for primary health care doctors but also for experienced pediatricians and pediatric surgeons. 2. Early surgical consultation should be a standard procedure in small children with acute symptoms of various locations when there is accompaning abdominal pain, not reacting to conservative treatment. Surgical consultation is also indicated in children under 3 years of age with relapses of abdominal pain. 3. Clinical signs of appendicitis in children aged less than 3 years, may differ from those in older children due to changes in their immunological reactivity. This problem should be included in under-graduate and post-graduate medical studies.
Rodriguez DP, Vargas S, Callahan MJ, et al. Appendicitis in young children: imaging experience and clinical outcomes. AJR Am J Roentgenol. 2006 Apr;186(4):1158-64.
“The diagnosis of appendicitis in children less than 5 years old can be especially challenging [1-3]. Clinical presentations can be confusing and the diagnosis is often delayed or missed , resulting in a higher frequency of complications such as appendiceal perforation [5-7]. In addition, many typical features of appendicitis, such as localized right lower quadrant pain, fever, and leukocytosis, may be minimal or absent in younger children .
Sonography and CT criteria for appendicitis have been largely defined in adults and in children without further stratification of patients by age [8-10]. Imaging findings in the high-risk group of young children have not received much attention and are not well described. This study was undertaken to compare the imaging characteristics of younger children (< 5 years old) to those of older children and to determine the impact of a younger age on sonography and CT diagnoses and the clinical outcomes of appendiceal perforation and negative appendectomy rate.”
Alloo J, Gerstle T, Shilyansky J, Ein SH. Appendicitis in children less than 3 years of age: a 28-year review. Pediatr Surg Int. 2004 Jan;19(12):777-9.
The presentation in preschool children is more often atypical, and tends to be delayed [3, 4, 11], with perforation of the appendix an almost universal finding at laparotomy [3, 4, 11]. This population is often misdiagnosed, and shows greater morbidity . The objective of this study was to review the presenting symptoms and signs, management, and outcome of children under 3 years of age who underwent a laparotomy for appendicitis under the care of a single pediatric general surgeon.
More PubMed results on appendicitis in young children.