Acute appendicitis in children under 4 years:a diagnostic dilemma
Introducction Acute appendicitis is a pathology caused by inflammation of the cecal appendix , due tocthe obstruction of the appendicular lumen,witch leads to a venous congestion and then eventually to an arterial compromise of the appendicular wall with the consequent perforation of it.The main pro...
| Autores principales: | , , |
|---|---|
| Formato: | Artículo revista |
| Lenguaje: | Español |
| Publicado: |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2019
|
| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/23661 |
| Aporte de: |
| id |
I10-R327-article-23661 |
|---|---|
| record_format |
ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
appendicitis intra-abdominal infections appendicitis / prevention & control children revision literature as subject peritonitis apendicitis infecciones intraabdominales apendicitis/prevención & control niños literatura de revisión como asunto peritonitis apendicite infecções intra-abdominais apendicite / prevenção & controle crianças rever literatura como assunto peritonite |
| spellingShingle |
appendicitis intra-abdominal infections appendicitis / prevention & control children revision literature as subject peritonitis apendicitis infecciones intraabdominales apendicitis/prevención & control niños literatura de revisión como asunto peritonitis apendicite infecções intra-abdominais apendicite / prevenção & controle crianças rever literatura como assunto peritonite Rassi, Ricardo Muse, Florencia Cuestas, Eduardo Acute appendicitis in children under 4 years:a diagnostic dilemma |
| topic_facet |
appendicitis intra-abdominal infections appendicitis / prevention & control children revision literature as subject peritonitis apendicitis infecciones intraabdominales apendicitis/prevención & control niños literatura de revisión como asunto peritonitis apendicite infecções intra-abdominais apendicite / prevenção & controle crianças rever literatura como assunto peritonite |
| author |
Rassi, Ricardo Muse, Florencia Cuestas, Eduardo |
| author_facet |
Rassi, Ricardo Muse, Florencia Cuestas, Eduardo |
| author_sort |
Rassi, Ricardo |
| title |
Acute appendicitis in children under 4 years:a diagnostic dilemma |
| title_short |
Acute appendicitis in children under 4 years:a diagnostic dilemma |
| title_full |
Acute appendicitis in children under 4 years:a diagnostic dilemma |
| title_fullStr |
Acute appendicitis in children under 4 years:a diagnostic dilemma |
| title_full_unstemmed |
Acute appendicitis in children under 4 years:a diagnostic dilemma |
| title_sort |
acute appendicitis in children under 4 years:a diagnostic dilemma |
| description |
Introducction Acute appendicitis is a pathology caused by inflammation of the cecal appendix , due tocthe obstruction of the appendicular lumen,witch leads to a venous congestion and then eventually to an arterial compromise of the appendicular wall with the consequent perforation of it.The main problem of this pathology in children under 4 years is the high index of appendicecal preforations presented by patients at the time of diagnosis,mainly driven by an unspecific clinical presentation,which leads to a low index of suspicion and a high percentage of complications in that age group.
Objetive: perform a literature review on the subject and investigate what is known of appendicitis in children under four years old to date.
The data were obtained through a systematic bibliographic search in the pubmed data base from 1980 to 2017
Conclussion the increase in morbidity of acute apendicitis in children under 4 years has a mixed origin since organic factors are mixed age,together with a temporary diagnostic delay and with it the appearance of complicated forms of the disease ,there is no sign,symptom or group of them that allows early detection of appendicitis in children under 4 years of age. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2019 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/23661 |
| work_keys_str_mv |
AT rassiricardo acuteappendicitisinchildrenunder4yearsadiagnosticdilemma AT museflorencia acuteappendicitisinchildrenunder4yearsadiagnosticdilemma AT cuestaseduardo acuteappendicitisinchildrenunder4yearsadiagnosticdilemma AT rassiricardo apendicitisagudaenninosmenoresde4anosundilemadiagnostico AT museflorencia apendicitisagudaenninosmenoresde4anosundilemadiagnostico AT cuestaseduardo apendicitisagudaenninosmenoresde4anosundilemadiagnostico AT rassiricardo apendiciteagudaemcriancasmenoresde4anosumdilemadiagnostico AT museflorencia apendiciteagudaemcriancasmenoresde4anosumdilemadiagnostico AT cuestaseduardo apendiciteagudaemcriancasmenoresde4anosumdilemadiagnostico |
| first_indexed |
2024-09-03T21:00:35Z |
| last_indexed |
2024-09-03T21:00:35Z |
| _version_ |
1809210131535101952 |
| spelling |
I10-R327-article-236612024-08-27T18:24:43Z Acute appendicitis in children under 4 years:a diagnostic dilemma Apendicitis aguda en niños menores de 4 años:Un dilema diagnóstico Apendicite aguda em crianças menores de 4 anos: um dilema diagnóstico Rassi, Ricardo Muse, Florencia Cuestas, Eduardo appendicitis intra-abdominal infections appendicitis / prevention & control children revision literature as subject peritonitis apendicitis infecciones intraabdominales apendicitis/prevención & control niños literatura de revisión como asunto peritonitis apendicite infecções intra-abdominais apendicite / prevenção & controle crianças rever literatura como assunto peritonite Introducction Acute appendicitis is a pathology caused by inflammation of the cecal appendix , due tocthe obstruction of the appendicular lumen,witch leads to a venous congestion and then eventually to an arterial compromise of the appendicular wall with the consequent perforation of it.The main problem of this pathology in children under 4 years is the high index of appendicecal preforations presented by patients at the time of diagnosis,mainly driven by an unspecific clinical presentation,which leads to a low index of suspicion and a high percentage of complications in that age group. Objetive: perform a literature review on the subject and investigate what is known of appendicitis in children under four years old to date. The data were obtained through a systematic bibliographic search in the pubmed data base from 1980 to 2017 Conclussion the increase in morbidity of acute apendicitis in children under 4 years has a mixed origin since organic factors are mixed age,together with a temporary diagnostic delay and with it the appearance of complicated forms of the disease ,there is no sign,symptom or group of them that allows early detection of appendicitis in children under 4 years of age. Introducción La apendicitis aguda es una patología producida por la inflamación del apéndice cecal, debido a la obstrucción de la luz apendicular, que lleva a una congestión venosa y luego eventualmente a un compromiso arterial de la pared apendicular con la consiguiente perforación del mismo. El problema principal de ésta patología en menores de 4 años radica en el alto índice de perforaciones apendiculares que presentan los pacientes al momento del diagnóstico; propulsado principalmente por una presentación clínica inespecífica,que conlleva a un bajo índice de sospecha y a un alto porcentaje de complicaciones en dicho grupo etario. Objetivo realizar una revisión bibliográfica sobre el tema e investigar que se sabe de apendicitis en niños menores de cuatro años hasta el momento. Fuente de Datos se realizo una búsqueda bibliográfica sistemática en la base de datos PubMed desde el año 1980 al año 2017, Conclusiones El aumento en la morbilidad de la apendicitis aguda en menores de 4 años tiene un orígen mixto ya que se mezclan factores orgánicos propios de la edad,junto a un retraso diagnóstico temporal y con ello a la aparición de formas complicadas de la enfermedad , sin que exista en la actualidad signo, síntoma o conjunto de ellos , que nos permita la detección precoz de apendicitis en menores de 4 años. A apendicite aguda é uma patologia causada pela inflamação do apêndice cecal, devido à obstrução da luz apendicular, que leva a congestão venosa e, em seguida, eventualmente a um comprometimento arterial da parede apendicular com o consequente perfuração dele. O principal problema desta patologia em crianças menores de 4 anos encontra-se na alta taxa de perfurações apendiculares que os pacientes momento de diagnóstico; alimentado principalmente por uma apresentação clínica inespecífica, o que leva a um baixo índice de suspeita e uma alta porcentagem de complicações no referido grupo etário. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-08-29 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf text/html https://revistas.unc.edu.ar/index.php/med/article/view/23661 10.31053/1853.0605.v76.n3.23661 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 76 No. 3 (2019); 180-184 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 76 Núm. 3 (2019); 180-184 Revista da Faculdade de Ciências Médicas de Córdoba; v. 76 n. 3 (2019); 180-184 1853-0605 0014-6722 10.31053/1853.0605.v76.n3 spa https://revistas.unc.edu.ar/index.php/med/article/view/23661/24539 https://revistas.unc.edu.ar/index.php/med/article/view/23661/24561 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |