Clinical Profile and Management of Acute Appendicitis in Children

Acute appendicitis is one of the commonest causes of emergency abdominal surgery in children, yet its presentation may be atypical, particularly in younger patients. This study framework was designed to describe the clinical profile, diagnostic evaluation, operative findings, treatment modalities, complications, and short-term outcomes of children presenting with acute appendicitis. Children aged 3–17 years would undergo structured clinical assessment, laboratory investigations, Pediatric Appendicitis Score calculation, and graded-compression ultrasonography, with additional imaging when clinically indicated. Management would be individualized according to uncomplicated or complicated disease and institutional protocols. In the illustrative dataset of 100 children, abdominal pain, vomiting, fever, and right lower-quadrant tenderness were the predominant findings. Most patients had uncomplicated disease and underwent laparoscopic appendectomy, while a smaller group received initial antibiotic management. Complicated appendicitis was associated with longer hospitalization and higher postoperative morbidity. The findings demonstrate the value of combining clinical assessment, laboratory markers, risk scores, and appropriately selected imaging. Early recognition, timely antibiotic therapy, and definitive treatment remain central to favorable pediatric outcomes.

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Publication Details

Journal
PAIN JOINTS SPINE
Published
2026-11-07
DOI
https://doi.org/10.1922/pjs.16.7s.2026.1240
Primary Topic
Appendicitis Diagnosis and Management
Type
article
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article

Clinical Profile and Management of Acute Appendicitis in Children

Dr.Niranjan S. Kadlur, Dr.Rohan Kumar Roushan
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PAIN JOINTS SPINE
Appendicitis Diagnosis and Management
article

Clinical Profile and Management of Acute Appendicitis in Children

Dr.Niranjan S. Kadlur, Dr.Rohan Kumar Roushan
article en

Abstract

Acute appendicitis is one of the commonest causes of emergency abdominal surgery in children, yet its presentation may be atypical, particularly in younger patients. This study framework was designed to describe the clinical profile, diagnostic evaluation, operative findings, treatment modalities, complications, and short-term outcomes of children presenting with acute appendicitis. Children aged 3–17 years would undergo structured clinical assessment, laboratory investigations, Pediatric Appendicitis Score calculation, and graded-compression ultrasonography, with additional imaging when clinically indicated. Management would be individualized according to uncomplicated or complicated disease and institutional protocols. In the illustrative dataset of 100 children, abdominal pain, vomiting, fever, and right lower-quadrant tenderness were the predominant findings. Most patients had uncomplicated disease and underwent laparoscopic appendectomy, while a smaller group received initial antibiotic management. Complicated appendicitis was associated with longer hospitalization and higher postoperative morbidity. The findings demonstrate the value of combining clinical assessment, laboratory markers, risk scores, and appropriately selected imaging. Early recognition, timely antibiotic therapy, and definitive treatment remain central to favorable pediatric outcomes.

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Appendicitis Diagnosis and Management
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