Acute appendicitis in the under-5 year old.

  title={Acute appendicitis in the under-5 year old.},
  author={Neil M Williams and Leela Kapila},
  journal={Journal of the Royal College of Surgeons of Edinburgh},
  volume={39 3},
During a 10-year period we operated on 816 children with a diagnosis of acute appendicitis. Of these, 36 (4.5%) were under 5 years of age. A retrospective analysis was made of these 36 cases to assess the natural history, management and outcome in these children. Abdominal pain was the commonest symptom but was not invariable, being present in only 32 of the 36 children while vomiting was present in 28 children. Localized tenderness in the right iliac fossa was present in 21 children and… CONTINUE READING