Janssen L J F, Voorhoeve P G, van den Wildenberg F J H, van den Brand L R C L
Canisius-Wilhelmina Ziekenhuis, Nijmegen.
Ned Tijdschr Geneeskd. 2016;160:D533.
Three children presented with symptoms of an acute abdomen. In all three a diagnosis of pneumonia was subsequently established, and the patients made a full recovery following antibiotic therapy. When a paediatric patient presents with symptoms of an acute abdomen, the possibility of pneumonia should be considered. It can be difficult to differentiate between appendicitis and pneumonia because of the subtle clinical signs. Early recognition is, however, important in order to start the correct therapy and to avoid an unnecessary laparotomy.
三名儿童出现急腹症症状。随后在这三名儿童中均确诊为肺炎，患者经抗生素治疗后完全康复。当儿科患者出现急腹症症状时，应考虑肺炎的可能性。由于临床体征不明显，阑尾炎和肺炎可能难以区分。然而，早期识别对于开始正确的治疗和避免不必要的剖腹手术很重要。
