Aguilar Julián, Goldman Alyssa, Cohen Adi, Smith David
Emergency Medicine, HCA Florida Northwest Hospital, Margate, USA.
Graduate Medical Education, Nova Southeastern University Dr. Kiran C. Patel College of Osteopathic Medicine, Davie, USA.
Cureus. 2025 Apr 13;17(4):e82200. doi: 10.7759/cureus.82200. eCollection 2025 Apr.
Appendicitis is caused by a blockage of the appendix, leading to the proliferation of intestinal bacteria and subsequent inflammation of the appendix. Within the scope of pediatrics, appendicitis is associated with an atypical presentation, and its symptoms can overlap with other abdominal conditions, contributing to a higher risk of misdiagnosis. Despite its relatively low prevalence in patients less than four years of age, appendicitis remains a critical condition that requires prompt recognition and intervention to avoid complications and ensure favorable outcomes. We present a case of perforated appendicitis in a 23-month-old female patient who presented to the emergency department with abdominal pain. This report highlights the challenges in diagnosing appendicitis in this age group and reviews current guidelines for the evaluation of suspected appendicitis in young children. Emphasis is placed on the importance of timely diagnosis and surgical intervention to reduce complications and prevent mortality.
阑尾炎是由阑尾梗阻引起的，导致肠道细菌增殖，随后阑尾发炎。在儿科范围内，阑尾炎的表现不典型，其症状可能与其他腹部疾病重叠，导致误诊风险更高。尽管阑尾炎在4岁以下患者中的发病率相对较低，但它仍然是一种危急病症，需要及时识别和干预，以避免并发症并确保良好的治疗效果。我们报告一例23个月大的女性穿孔性阑尾炎患者，该患者因腹痛就诊于急诊科。本报告强调了该年龄组阑尾炎诊断的挑战，并回顾了当前评估疑似小儿阑尾炎的指南。重点强调了及时诊断和手术干预对于减少并发症和预防死亡的重要性。
