| Abstract text: |
Acute appendicitis at children is one of the most frequent medical and the most frequent cause of acute abdomen at children. The vermiform appendix is a lymphoid abdominal organ situated at the first level of the long intestine, the inflammation is called appendicitis. This disease, affects in general children over 2 years old, only 2 percent of the cases been beneath the age of 2 years. Acute appendicitis is an affection that at first sight seems trivial, but because of the very divers symptoms, the children end up in the wardroom pretty late in more than 55% of the cases and arrive in the stage in which the complications are starting to appear, and so the rupture of the appendix wall appears at over 80% of the children under 5years old and only 25% at teenagers, up to 55% of the children have at the moment of surgery a serious form of perforated gangrenous appendicitis. The classic signs of appendicitis are usually: abdominal pains situated initially at the epigastria and periombilical levels, followed by lack of appetite, nausea, throw ups and even intestinal transit disturbances. States of fever may occur, with temperatures of 38 degrees Celsius. The diagnosis must be made as soon as possible from the start of the symptoms, because the complications appear quite fast at little children, the appendix perforation appears after 12-15 hours from the onset of pain. In terms of surgical measures, the treatment is simple and consists in the excision of the appendix, intervention called apendicectomy and the postoperative treatment continues with the administration of antibiotics for the specific disease. |
