Apendicite aguda em crianças menores de 4 anos: um dilema diagnóstico

Autores

  • Ricardo Rassi Hospital Privado de Córdoba
  • Florencia Muse Hospital Privado de Córdoba
  • Eduardo Cuestas Hospital Privado de Córdoba Argentina

DOI:

https://doi.org/10.31053/1853.0605.v76.n3.23661

Palavras-chave:

apendicite, infecções intra-abdominais, apendicite / prevenção & controle, crianças rever literatura como assunto, peritonite

Resumo

A apendicite aguda é uma patologia causada pela inflamação do apêndice cecal, devido à obstrução da luz apendicular, que leva a congestão venosa e, em seguida, eventualmente a um comprometimento arterial da parede apendicular com o consequente perfuração dele. O principal problema desta patologia em crianças menores de 4 anos encontra-se na alta taxa de perfurações apendiculares que os pacientes momento de diagnóstico; alimentado principalmente por uma apresentação clínica inespecífica, o que leva a um baixo índice de suspeita e uma alta porcentagem de complicações no referido grupo etário.

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Biografia do Autor

Ricardo Rassi, Hospital Privado de Córdoba

Médico. Especialista en Cirugía Pediatrica. Docente Universitario.

Florencia Muse, Hospital Privado de Córdoba

Médica Especialista en Cirugía Pediátrica

Eduardo Cuestas, Hospital Privado de Córdoba Argentina

Doctor en Medicina. Docente Universitario en Medicina. Médico Especialista en Pediatría.

Referências

Addis DG , Shaffer N,Fowler B S, Tauxe RV .The epidemiology of appendicitis and appendectomy in the United States.AmJ Epidemiol. 1990;132:910-25.

Bachoo P. , Mahomed A.A. ,Niman G.K.,Youngson GG.Acute appendicitis : continuing role for active observation.Pediatr. Surg. Int. 2001;17:125-8.

Andersen S. Paerregaard A. Larsen K. Changes in the epidemiology of acute appendicitis and appendectomy in Danish children 1996-2004.Eur J.Pediatr Surg.2009; 19:286-9.

Williams NM , Jackson D , Everson NW , Jhonstone JM . Is the incidence of acute appendicitis really falling ? Ann R Coll Surg. Eng .1998; 80:122 – 4.

Almaramhy HH. Acute appendicitis in young children less than 5 years: review article.Italian Journal of Pediatrics(2017)43:15.

Rothrock SG .Pagane J. Acute appendicitis in children: emergency department diagnosis and management.Ann Emerg Med .2000;36 : 39-51.

Fulton J. Lazzarus C.Acute appendicitis among South Africans . Afr J. Pediatr Surg.1995. 33(4):165-166.

Peivasteh M.,Askarpour S.et al .Modified Alvarado Score in children with Diagnosis of appendicitis. ABCD Arq Bras Cir Dig 2017;30(1):51-52.

Samuel M. Pediatric appendicitis score. Journal of Pediatric Surgery.Vol.37n6 877-881,2002.

Salo M.Friman G.Appendicitis in children:Evaluation of the Pediatric appendicitis Score in Younger and Older Children.Surgery Research and Practice Vol.2014 Article ID438076, 6 pags.

Douglas C.D.Machperson NE.Davidson PM,et al.Randomised controlled trial of ultrasonography in diagnosis of acute appendicitis,incorporating the Alvarado score.Br.Med j. 321:919-922,2000.

Macco S.,et al .Evaluation of scoring system in predicting acute appendicitis in children. J.P.Surgery 2016;06.23.

Castro SM. Unlu C.Steller EP. Evaluation of the appendicitis inflammatory response score for patients with acute appendicitis.World J Surg.2012;36:1540-5.

Nance ML . Adamson WT. Hedrick HL. Appendicitis in the young child : a continuing diagnostics challenge.Pediatr Emerg Care.2000;15:160-2.

Ravitch M.M.Appendicitis Pediatrics.1982;70:414-419.

Graham J.M.,Pokorny W.J.,HarbergF.J.Acute appendicitis in preschool age children.Am J.Surg.1980;139:247-250.

Neilson I.R.,Laberge J.M.,Nguyen L.T.,et al.Appendicitis in children:current therapeutic recomendattions.J Pediatric Surg.1990;25:1113-1116.

Pearl R.H. ,Halle D.A. , Molloy M. , et al . Pediatric appendicectomy . J. Pediatric Surg. 1995 ;30: 173-181.

Reynolds S.L.Missed Appendicitis in a Pediatric emergency department.Pediatric Emerg.Care.1993;9:1-3.

Curran T.J. Muenchow S.K. The treatment of complicated appendicitis in children using peritoneal drainage:Results from a public Hospital J. Pediatric Surg.1993;28:204-208.

Rao P.M.,Rhea J.T.,Novelline R.A.et al.Effect of computed tomography of the appendix on treatment of patients and use of Hospital resources.N Eng.J. Med.1998;338:141-146.

Lanaguijara A.Araujo L.y colaboradores.Apendicitis aguda en menores de 4 años:experiencia de 66 casos.Rev.de Cirugía Infantil 10(4) 2000.

Paajanen H.Somppi E.Early chilhood appendicitis is still difficult diagnosis.Acta Pediatric 1996,April 85(4):459-462.1996.

Young I;Moos K.N.:Acute appendicitis in chidren in a Community Hospital:a five years Rreviews. Alaska Med.,April – June,39(2):34– 42,1997.

Wade D.S. et al ; Accuracy of ultrasound in the diagnosis of the accute appendicitis compared with the surgeon s clinical impression.Arch Surg,128:1039,1993.

García Camiño,Campillo B.Apendicitis en menores de 4 años.Identificación de signos síntomas y parámetros analíticos radiológicos para un diagnóstico precoz. Rev.Pediatr

Atención Primaria 2014,Vol.6 ,N.63 Madrid.

Meckail P.Naguib N.Appendicitis in pediatric age group:correlation between preoperatory inflamatory markers and postoperative histological diagnosis.Afr.J.Paediatrics Surgery.2002.37:877-81.

Shackelford RT.:Surgery of the alimentary tract.Philadelphia,WB.Saunders 1955 pp2562-2567.

Kingsley DPE:Some observation of appendicectomy with particular refference to technique. Br.J.Surg.56:491-496,1969.

Madden JL.:Atlas of Technics in Surgery.New York.Apple-ton and lange;1958,pp.310-313.

Humphrey GME.,Najmaldín A:Laparoscopic appendicectomy in chilhood.J Pediatric Surg.Int 10:86-89,1995.

Reiersten O,Larsen S,Trondsen E,et al:Randomized controlled trial with sequential design of laparoscopic vs.conventional appendicitis.Br.J surg.84:842-847,1997.

Shandling B,Ein SH.,Simpson JS.et al;Perforating appendicitis and antibiotics.J Pediatric Surg.9;79-83,1994.

Duny,James C.Appendicitis.Eng:O'Neil JA,Grosfeld JL.Pediatric Surgery.Sexta ed. Philadelphia Mosby Elsevier;2006p1501-1510.

Mortell A,Puri P.,Appendicitis.Eng:Stringer,Oldham KT.,Mouriquiand PD.,Pediatric Surgery and Urology.2 da Ed.Cambridge;2006 p.374-82.

Kirkwood KS.,Maa j. The appendix Townnsend.jr.Courtney M.Sabinston Textbook of surgery 18 va.ed.EUA.:Saunder Elsevier;2008.p:435-9.

Sarvin RS.Appendix.En:Oldham KT.,Colombani PM.,Foglio RP.,Skinner MA.,Principes and practice of pediatric surgery.4 ta Ed.Wisconsin:Williams and Wilkins;2005p.1270-82.

Chen LE.,Buckman TG.Acute abdominal pain and appendicitis.Manual of Surgery.5 ta ED.Washington ;2008p.200-13.

Escalona PA.,Belollio FR.,Utilidad de la Proteína C reactiva y recuento de leucocitos en la sospecha de apendicitis aguda.Rev.Chilena .Cirugía 2006;58:122-6.

Okamoto T, Receiver operatingcharacteristic analysis of leucocyte counts and serum C-Reactive protein levels in childrens with advanced appendicitis.Surg Today.2006,36:515-8.

Lin CJ.,Chen JD.,Tiu CM.,Can ruptured appendicitis be detected preoperatively in the ED.Am J.Emerg.Med.2005;23:60-6.

Yagmurulu A.,Vernon A.Laparoscopic Appendicectomy for perforated appendicitis:comparison with oppen appendicectomy.Surg Endoscopic 2006;20(7):1051-4.

Publicado

2019-08-29

Como Citar

1.
Rassi R, Muse F, Cuestas E. Apendicite aguda em crianças menores de 4 anos: um dilema diagnóstico. Rev Fac Cien Med Univ Nac Cordoba [Internet]. 29º de agosto de 2019 [citado 17º de julho de 2024];76(3):180-4. Disponível em: https://revistas.unc.edu.ar/index.php/med/article/view/23661

Edição

Seção

Revisiones de literatura