Abstract
During a twelve-month period, 416 children with acute abdominal pain required emergency admission to Southampton General Hospital; 46% had operations. Appendicitis was the commonest organic cause of acute abdominal pain identified (31%). Constipation (9%) can present as acute abdominal pain simulating appendicitis. All children should have a urine sample examined microscopically and the finding of significant pyuria is suggestive, but not diagnostic, of a urinary tract infection (7%). Mesenteric adenitis, which can only be diagnosed with certainty at laparotomy, was less common (4%). Despite careful clinical assessment and follow up, 45% of children in this series remained undiagnosed. Sedation but not analgesia may assist in the diagnosis of the acute abdomen in children.
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Selected References
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- Andersson N., Griffiths H., Murphy J., Roll J., Serenyi A., Swann I., Cockcroft A., Myers J., St Leger A. Is appendicitis familial? Br Med J. 1979 Sep 22;2(6192):697–698. doi: 10.1136/bmj.2.6192.697. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dickinson J. A. Incidence and outcome of symptomatic urinary tract infection in children. Br Med J. 1979 May 19;1(6174):1330–1332. doi: 10.1136/bmj.1.6174.1330. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dimson S. B. Transit time related to clinical findings in children with recurrent abdominal pain. Pediatrics. 1971 Apr;47(4):666–674. [PubMed] [Google Scholar]
- Freeman N. V. Faecal soiling and constipation in children. Practitioner. 1978 Sep;221(1323):333–337. [PubMed] [Google Scholar]
- Gill B., Cudmore R. E. Signifance of faecoliths in the diagnosis of acute appendicitis. Br J Surg. 1975 Jul;62(7):535–536. doi: 10.1002/bjs.1800620708. [DOI] [PubMed] [Google Scholar]
- JACKSON R. H. Parents, family doctors, and acute appendicitis in childhood. Br Med J. 1963 Aug 3;2(5352):277–281. doi: 10.1136/bmj.2.5352.277. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jones P. F. Active observation in management of acute abdominal pain in childhood. Br Med J. 1976 Sep 4;2(6035):551–553. doi: 10.1136/bmj.2.6035.551. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Jones P. F. Acute abdominal pain in childhood, with special reference to cases not due to acute appendicitis. Br Med J. 1969 Feb 1;1(5639):284–286. doi: 10.1136/bmj.1.5639.284. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Pullan C. R., Halse P. C., Sims D. G., Alexander F. W., Gardner P. S., Codd A. A. Viruses and acute abdominal pain in childhood. Arch Dis Child. 1979 Oct;54(10):780–782. doi: 10.1136/adc.54.10.780. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Puri P., O'Donnell B. Appendicitis in infancy. J Pediatr Surg. 1978 Apr;13(2):173–174. doi: 10.1016/s0022-3468(78)80014-1. [DOI] [PubMed] [Google Scholar]
- Skirrow M. B. Campylobacter enteritis: a "new" disease. Br Med J. 1977 Jul 2;2(6078):9–11. doi: 10.1136/bmj.2.6078.9. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Steyn J., Kyle J. Epidemiology of Acute Intussusception. Br Med J. 1961 Jun 17;1(5241):1730–1732. doi: 10.1136/bmj.1.5241.1730. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Winsey H. S., Jones P. F. Acute abdominal pain in childhood: analysis of a year's admissions. Br Med J. 1967 Mar 18;1(5541):653–655. doi: 10.1136/bmj.1.5541.653. [DOI] [PMC free article] [PubMed] [Google Scholar]