Understanding pediatric appendicitis: A-mini review


  • Mustafa Atan
  • Serkan Arslan




Abdominal pain, appendectomy, appendicitis, children


Appendicitis, an inflammation of the appendix, is a common surgical emergency in children, with symptoms ranging from abdominal pain and fever to changes in bowel movements and appetite. Diagnosing pediatric appendicitis can be challenging due to symptom variability and the difficulty children may have in articulating pain. However, prompt diagnosis and treatment are essential to avoid severe complications like gangrene or perforation. The condition is usually caused by blockage in the appendix due to hardened stool, swollen lymphoid tissues from infections, or, rarely, foreign bodies. Diagnosis typically involves a combination of medical history, physical examination, and diagnostic tests including blood counts, urinalysis, and imaging studies such as ultrasound, CT scans, or MRI.

Treatment primarily involves an appendectomy, either through open surgery or a laparoscopic approach, with the latter now considered the gold standard due to benefits like less post-operative pain and shorter recovery time. In some cases of uncomplicated appendicitis, non-operative management with antibiotics and close monitoring may be pursued, although there's a risk of recurrence.

Postoperative care is vital and includes pain management, wound care, a gradual return to a normal diet, and a cautious return to physical activities. Despite the commonality of pediatric appendicitis, swift action in diagnosis and intervention, coupled with proper post-operative care, ensures a complete recovery and normal continuation of growth and development.


Basuguy E, Okur MH, Arslan S, Aydoğdu B, Akdeniz S, Azizoğlu M. Çocuklarda torakoport yardımlı laparoskopik apendektomi sonuçlarımız. Dicle Med J. 2020;47(3):727-34.

Aydoğdu B, Azizoğlu M, Arslan S, Aydoğdu G, Basuguy E, Salık F, et al. A novel diagnostic scoring system for pediatric appendicitis based on age and sex-adjusted hematological parameters. Gac Med Mex. 2023;159(2):103-9.

Arslan S, Aydogdu B, Arslan MS, Zeytun H, Okur MH, Basuguy E, et al. Analysis of Risk Factors for Appendicitis in Children: A Multicenter Epidemiological Study. Dicle Med J. 2016;43(4):556-60.

Bhangu A, Søreide K, Di Saverio S, Assarsson JH, Drake FT. Acute appendicitis: modern understanding of pathogenesis, diagnosis, and management. Lancet. 2015;386(10000):1278-87.

D'Souza N, Nugent K. Appendicitis. Am Fam Physician. 2016;93(2):142-3.

Walter K. Acute Appendicitis. JAMA. 2021;326(22):2339.

Rassi R, Muse F, Cuestas E. Apendicitis aguda en niños menores de 4 años:Un dilema diagnóstico. [Acute appendicitis in children under 4 years:a diagnostic dilemma]. Rev Fac Cien Med Univ Nac Cordoba. 2019;76(3):180-4.

Glass CC, Rangel SJ. Overview and diagnosis of acute appendicitis in children. Semin Pediatr Surg. 2016;25(4):198-203.

López JJ, Deans KJ, Minneci PC. Nonoperative management of appendicitis in children. Curr Opin Pediatr. 2017 Jun;29(3):358-62.

He K, Rangel SJ. Advances in the Diagnosis and Management of Appendicitis in Children. Adv Surg. 2021;55:9-33.

Becker C, Kharbanda A. Acute appendicitis in pediatric patients: an evidence-based review. Pediatr Emerg Med Pract. 2019;16(9):1-20.

Almaramhy HH. Acute appendicitis in young children less than 5 years: review article. Ital J Pediatr. 2017;43(1):15.

Rentea RM, St Peter SD. Contemporary Management of Appendicitis in Children. Adv Pediatr. 2017;64(1):225-51.

Aydoğdu H. Appendicitis: At a glance. Ulus Med J. 2023;1(2):22-5.

Caruso AM, Pane A, Garau R, Atzori P, Podda M, Casuccio A, et al. Acute appendicitis in children: not only surgical treatment. J Pediatr Surg. 2017;52(3):444-8.

Rentea RM, Peter SDS, Snyder CL. Pediatric appendicitis: state of the art review. Pediatr Surg Int. 2017;33(3):269-83.




How to Cite

Atan M, Arslan S. Understanding pediatric appendicitis: A-mini review. Unicos Rev [Internet]. 2023 Jul. 25 [cited 2024 Jul. 25];2(2):26-9. Available from: https://unicosreview.com/index.php/review/article/view/14