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  • Title: [Acute abdominal pain and appendicitis in childhood].
    Author: Belbusti F, Signoretti P, Stafoggia P, Filomeni N, Amodio G.
    Journal: G Chir; 1992; 13(6-7):357-62. PubMed ID: 1389986.
    Abstract:
    The diagnosis of acute appendicitis is still difficult to ascertain in children. However, a complete anamnesis, an accurate physical examination as well as a careful evaluation of other medical and surgical possibilities causing abdominal pain allow to arrive to a correct diagnosis in 80% of cases. Laboratory findings may be helpful but usually don't add further information. Each patient suspected to have appendicitis should be admitted to the hospital and kept under observation; if no improvement is registered during the following hours then a surgical exploration is needed. The surgeon, however, must be acquainted with the different medical affections causing abdominal pain in order to decide whether a laparotomy is required. The Authors report their experience in 426 patients submitted to appendectomy and stress the correlation between abdominal pain and intraoperative finding.
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