Diagnosis and Management of Pediatric Appendicitis, Intussusception, and Meckel Diverticulum

Meckel’s Diverticulum: Factors Associated with Clinical Manifestations

“…Inflamed MD and appendicitis share similar clinical symptoms and signs, including fever, nausea, vomiting, tenderness to palpation, and rebound pain. The mechanism of inflammation of MD was also thought to be similar to appendicitis, which is caused by obstruction of the lumen leading to inflammation and even perforation and peritonitis [23]. …”

“…Preoperation diagnoses of 16 patients in this study were appendicitis. If the preoperation diagnosis is appendicitis, but the appendix was found to be normal when surgery took place, exploration for MD should be performed [23]. …”

Risk factors for pediatric intussusception complicated by loss of intestine viability in China from June 2009 to May 2014: a retrospective study

“…Intussusception is among the most common abdominal emergencies in young children [1][2][3][4]. Symptoms include sudden onset of vomiting, abdominal pain, intermittent lethargy and irritability, and rectal bleeding that has been described as ''currant jelly'' [3][4][5][6].…”

Appendectomy Skin Closure Technique, Randomized Controlled Trial: Changing Paradigms (ASC)

“…These management variations include the emergency (less than 8 h after presentation) versus urgent treatment (more than 8 h after presentation), questions about the safety of performing surgery during night or waiting until the morning, medical treatment with antibiotics in uncomplicated cases, interval appendectomy after medical treatment, endoscopic management, use or not of drains, and laparoscopic versus open approach to mention some of them, with some showing promising results and World J Surg others being excluded after some follow-up studies [10,[13][14][15][16][25][26][27][28][29][30][31][32][33][34][35][36][37]. It has been confirmed that appendicitis could be treated as an urgent surgery and no an emergency one, and that medical team could wait to perform surgery until the morning, starting with medical treatment, without increasing the complications rate; that more than 30 % of pure medical treatment failures represent a high risk and higher medical attention cost over surgery; that endoscopic management has not been extensively evaluated and still needs to be studied in detail.…”