ACUTE APPENDICITIS IN PEDIATRIC AGE GROUP DIAGNOSIS AND MANAGEMENT

Abstract

Even after the evolution of Newer diagnostic imaging, diagnosing acute appendicitis is a problem in children. Many presents with a perforated appendix, peritonitis, intra-abdominal abscess, and fever leading to increased morbidity and mortality. It happens because we cannot read the mind of children, and they are not able to communicate. The role of Clinical examination, biochemical investigations. Imaging techniques, and finally, conservative interval appendicectomy or ultimate operative management. This review is done to create the pathway of what should be done one by one in a proper way that reduces the morbidity and mortality of the patients when thinking of the ambiguous clinical features of acute appendicitis in these cases so that we can diagnose it more efficiently before the rise of complications. Acute appendicitis is difficult to diagnose in children and infants because of their incapacity to communicate their feelings and what is occurring to them. They are unable to identify the discomfort, nature, or location of the abdominal pain. Even younger children are unable to express their distress. The only thing they can do is cry. A clinician's clinical expertise allows them to make an accurate case judgment, and particular investigations can result in a diagnosis and the right course of treatment. The total or complete blood count is the most frequently recommended investigation in cases of acute inflammation and appendicitis. Because both complicated and simple appendicitis has elevated white blood counts, a test with limited sensitivity and specificity cannot lead to the diagnosis. Even after the evolution of Newer diagnostic imaging, diagnosing acute appendicitis is a problem in children.