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Experiences of appendicitis in children during the first five years of age
Author(s) -
EDBERG EINAR
Publication year - 1939
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1939.tb16893.x
Subject(s) - appendicitis , medicine , acute appendicitis , peritonitis , appendix , enteritis , general surgery , pediatrics , surgery , paleontology , biology
Summary. The author has examined all the cases of appendicitis treated at GBS during 1925–1938 and classified the material in three 5‐year‐groups. Table I–II illustrate the frequency of appendicitis in the two sexes and in the three groups in question, and furthermore the considerable unequalness of mortality in the three pentads. The 180 cases belonging to the first pentad are distributed amongst three tables: acute appendicitis without obvious peritonitis, acute appendicitis with local peritonitis, and acute appendicitis with spreading peritonitis. The tables illustrate the distribution among age and sex, the mortality within the three groups, and the different percentage of cases of a serious or a benign character, seen from the therapeutic point of view. After this he discusses the chief symptomatology during earliest childhood up to the fifth year and in this connection points out the most common causes of diagnostic error. Special attention is given to the difficulties met with at the combined symptoms of enteritis and appendicitis. Furthermore the risk that an acute appendicitis is hidden by acute pharyngeal inflammations, upper respiratory infections or pyelitis, etc. etc.