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APPENDICITIS IN CHILDHOOD

RUSSELL S. FOWLER, M.D.
Am J Dis Child. 1912;IV(2):97-103. doi:10.1001/archpedi.1912.04100200034004.
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There have been cared for in the first surgical service at the German Hospital of Brooklyn (1900-1912) 183 patients with appendicitis under the age of 12 years. Two patients, moribund on admission, were not operated on and died. In two interval cases the patients were operated on and recovered. The remaining 179 were acute cases in which the patients were operated on, of whom twenty died.

Proportion of Children to Adult Cases.  —The total number of cases during the same period was 1,115, the proportion of children (183) 16.41 per cent.The present report is founded on the last hundred consecutive personal operations for acute appendicitis in patients under 12 years of age.

Mortality.  —Three of these patients died in the hospital; one patient with abscess died months later following resection of the intestine for tuberculosis and obstruction. Two of the three deaths from operation were in diffuse septic peritonitis

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