Abstract
Introduction. Among the causes of acute abdominal pain syndrome in children, acute appendicitis is the most common urgent pathology encountered in pediatric surgical practice. Diagnosing this condition presents several challenges due to the diversity of clinical manifestations, including nonspecific symptoms, the early stages of inflammatory progression, and atypical anatomical locations of the vermiform appendix. Modern diagnostic and treatment methods not only enable timely detection of the pathology but also help minimize hospitalization duration and reduce the risk of postoperative complications.
Objective — to conduct a retrospective analysis of medical records of children with acute appendicitis admitted to the Emergency Surgery Department of Children’s City Clinical Hospital No. 9 (Ekaterinburg), assessing disease trends, diagnostic features, and treatment approaches from 2018 to 2024.
Methods. During the study period, 11,559 children with suspected acute appendicitis were admitted to the hospital. After dynamic observation and examination, surgical pathology was ruled out in 6,941 (60.05 %) patients, while 4,618 (39.95 %) required surgical intervention. An analysis of annual surgical case distribution revealed a steady increase: 2018 — 428 (9.27 %); 2019 — 558 (12.08 %); 2020 — 592 (12.82 %); 2021 — 731 (15.83 %); 2022 — 714 (15.46 %); 2023 — 790 (17.11 %); 2024 — 805 (17.43 %). Diagnosis was based on a comprehensive assessment of medical history, physical examination findings, laboratory tests (complete blood count and urinalysis), and imaging studies (ultrasound of the abdomen, retroperitoneal space, and pelvis). All resected appendices and pathologically altered tissues were sent for histopathological examination. Statistic alanalysis was performed using MS Excel.
Conclusions. The conducted analysis confirmed the significant proportion of acute appendicitis among emergency surgical pathologies in children. The refinement of diagnostic algorithms and the implementation of modern surgical techniques contribute to improved treatment outcomes and reduced patient recovery times.
For citation
Rubtsov VV, Talnishnykh MP, Tsap NA, Chukreev VI, Chukreev AV, Eliseev AS. Issues of acute appendicitis in children in the clinic of emergency pediatric surgery in the Sverdlovsk Region. USMU Medical Bulletin. 2025;10(3):e00179. (in Russ.). DOI: https://doi.org/10.52420/usmumb.10.3.e00179. EDN: https://elibrary.ru/OLVHZK.
References
Министерство здравоохранения Российской Федерации. Острый аппендицит у детей: клинические рекомендации. 2022. [Ministry of Health of the Russian Federation. Acute appendicitis in children: Clinical recommendations. 2022. (In Russ.)].
Snyder AN, Cheng T, Burjonrappa S. A nationwide database analysis of demographics and outcomes related to Extracorporeal Membrane Oxygenation (ECMO) in congenital diaphragmatic hernia. Pediatric Surgery International. 2021;37(11):1505–1513. DOI: https://doi.org/10.1007/s00383-021-04979-y.
Разумовский АЮ (ред.). Детская хирургия. Национальное руководство. 2-е изд., перераб. и доп. Москва: ГЭОТАР-Медиа; 2021. 1280 с. [Razumovsky AYu (ed.). Pediatric surgery. National guidelines. 2nd ed., rev. and enl. Moscow: GEOTAR-Media; 2021. 1280 p.]. DOI: https://doi.org/10.33029/9704-5785-6-PSNR-2021-2-1-1280.
Исаков ЮФ, Дронов АФ (ред.). Детская хирургия: национальное руководство. Москва: ГЭОТАР-Медиа, 2014. 1164 с. [Isakov YF, Dronov AF (ed.). Pediatric surgery: National guidelines. Moscow: GEOTAR-Media, 2014. 1164 p.].
Hamid KA, Mohamed MA, Salih A. Acute appendicitis in young children: A persistent diagnostic challenge for clinicians. Cureus. 2018;10(3):e2347. DOI: https://doi.org/10.7759/cureus.2347.
Холостова ВВ, Смирнов АН, Маннанов АГ. Осложненный аппендицит у детей раннего возраста. В: Осложнения острого аппендицита у детей: материалы Рос. симпозиума дет. хирургов с международ. участием. Киров: КГМУ; 2021. С. 29–30. [Holostova VV, Smirnov AN, Mannanov AG. Comlacated appendicitis in children’s. In: Complications of Acute Appendicitis in Children: Proceedings of the Russ. symposium of ped. surgeons with intern. participation. Kirov: Kirov State Medical University; 2021. P. 29–30. (In Russ.)]. EDN: https://elibrary.ru/UJSUAS.
Neogi S, Banerjee A, Panda SS, Ratan SK, Narang R. Laparoscopic versus open appendicectomy for complicated appendicitis in children: A systematic review and meta-analysis. Journal of Pediatric Surgery. 2022;57(3):394–405. DOI: https://doi.org/10.1016/j.jpedsurg.2021.07.005.
Gorter RR. Laparoscopic appendectomy for acute appendicitis in children: The new standard. European Journal of Pediatric Surgery. 2021;31(3):212–218.
Ал-Салем АХ. Острый аппендицит. В: Ал-Салем АХ; Разумовский АЮ, Голованев МА (ред. пер.). Атлас детской хирургии. Принципы и лечение. Москва: ГЭОТАР-Медиа; 2023. С. 255–261. [Al-Salem AH. Acute appendicitis. In: Al-Salem AH; Razumovsky AYu, Golovanov MA (eds. of transl.). Atlas of Pediatric Surgery. Principles and Treatment. Moscow: GEOTAR-Media; 2023. P. 255–261. (In Russ.)].
Almaramhy HH. Acute appendicitis in young children less than 5 years: Review article. Italian Journal of Pediatrics. 2017;43(1):15. DOI: https://doi.org/10.1186/s13052-017-0335-2.
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Copyright © 2025 Rubtsov V. V., Talnishnykh M. P., Tsap N. A., Chukreev V. I., Chukreev A. V., Eliseev A. S.