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November 1969, Vol 118, No. 5 >
Article | November 1969

Diagnosis of Appendicitis in Infancy:  The Value of Abdominal Radiographs FREE

Robert H. Wilkinson, MD; Robert H. Bartlett, MD; Angelo J. Eraklis, MD
[+] Author Affiliations

Received for publication Dec 18, 1968.

Reprint requests to the Department of Radiology, Children's Hospital Medical Center, 300 Longwood Ave, Boston 02115 (Dr. Wilkinson).


Am J Dis Child. 1969;118(5):687-690. doi:10.1001/archpedi.1969.02100040689003.
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ACUTE appendicitis, a common abdominal emergency in childhood, is less frequently encountered in the infant.1-4 Less than 2% of all children treated for appendicitis are under 2 years of age.3 Because the diagnosis is frequently difficult to make, treatment is delayed, complications develop, and subsequent management becomes more involved.

The importance of radiographic search for pneumonia as a cause of abdominal pain has been well emphasized in the pediatric literature. However, little has been written concerning the value of abdominal radiographs in the infant with appendicitis.5 We believe too little is expected of such an examination and that radiography can be of considerable value in establishing the diagnosis of acute appendicitis in infants.

Material  At the Children's Hospital Medical Center, Boston, in a period from 1953 to 1968, 41 infants under 2 years of age underwent appendectomy for acute appendicitis. These infants ranged from 7 days to

REFERENCES

1 +
Benson, C.D.; Coury, J.J., Jr.; and Hagge, D.R.:  Acute Appendicitis in Infants , Arch Surg 64:561-568, 1952;.
2 +
Boles, E.T., Jr.; Ireton, R.J.; and Clatworthy, H.W., Jr.:  Acute Appendicitis in Children , Arch Surg 79:447-454, 1959;.
3 +
Longino, L.A.; Holder, T.M.; and Gross, R.E.:  Appendicitis in Childhood , Pediatrics 22:238-246, 1958;.
4 +
Rowe, M.:  Diagnosis and Treatment: Appendicitis in Childhood , Pediatrics 38:1057-1059, 1966;.
5 +
Ducharme, J.; Hurtubise, M.; and Anouty, I.:  Calcified Appendiceal Fecalith in Children , J Canad Assoc Radiol 27:155-157, 1966;.
6 +
Felson, B., and Bernhard, C.M.:  The Roentgen Diagnosis of Appendiceal Calculi , Radiology 49: 178-191, 1947;.
7 +
Margulies, M., and Stoane, L.:  Hepatic Angle in Roentgen Evaluation of Peritoneal Fluid , Radiology 88:51-56, 1967;.

Figures

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Benson, C.D.; Coury, J.J., Jr.; and Hagge, D.R.:  Acute Appendicitis in Infants , Arch Surg 64:561-568, 1952;.
2 +
Boles, E.T., Jr.; Ireton, R.J.; and Clatworthy, H.W., Jr.:  Acute Appendicitis in Children , Arch Surg 79:447-454, 1959;.
3 +
Longino, L.A.; Holder, T.M.; and Gross, R.E.:  Appendicitis in Childhood , Pediatrics 22:238-246, 1958;.
4 +
Rowe, M.:  Diagnosis and Treatment: Appendicitis in Childhood , Pediatrics 38:1057-1059, 1966;.
5 +
Ducharme, J.; Hurtubise, M.; and Anouty, I.:  Calcified Appendiceal Fecalith in Children , J Canad Assoc Radiol 27:155-157, 1966;.
6 +
Felson, B., and Bernhard, C.M.:  The Roentgen Diagnosis of Appendiceal Calculi , Radiology 49: 178-191, 1947;.
7 +
Margulies, M., and Stoane, L.:  Hepatic Angle in Roentgen Evaluation of Peritoneal Fluid , Radiology 88:51-56, 1967;.

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