Puri P, Boyd E, Guiney E J, O'Donnell B
J Pediatr Surg. 1981 Feb;16(1):55-7. doi: 10.1016/s0022-3468(81)80115-7.
During the first 3 yr of life 54 (34%) of the 158 patients presenting with appendicitis had an appendix mass at the time the diagnosis was made. In 19 the mass was discovered on clinical examination and in 35 on examination under anesthesia. Complication rate was markedly reduced and hospitals stay shortened if the appendix mass was managed non operatively.