European Journal of Cardiovascular Medicine

Acute abdominal pain in children represent a diagnostic dilemma, generally although many causes of acute abdomen are benign, other require rapid diagnosis and treatment to minimize morbidity. Numerous disorders can cause abdominal pain. The most common surgical cause is acute appendicitis. This study tries to evaluates the distribution of cases through the age and the fate of the management and complications that may occur during the course of the disease. This is a prospective study over a period of six months starting from March 15th to September 15th 2018. A total of 82 child were included in this study who are presented to our hospital complaining of acute appendicitis. The patients divided in to three groups according to their age, undergo careful clinical evaluation supplemented by laboratory and radiological investigations followed by surgical intervention and histopathological study. Eighty – two child suffering from acute appendicitis were included in this study, 44 male and 38 female , those 82 case undergone surgical line of appendectomy, no line of conservative treatment was applied and no any case of appendicular mass was included in this study, seven cases from those patients were presented with generalized peritonitis due to perforated appendices. From estimation of the cases we found that acute appendicitis in pediatrics age groups. during comparing the examination of child with adult patient has revealed that any child with abdominal pain should be carefully examined and the examination may be repeated more than one time to cover the area of examination in order to enhance good management through perfect diagnosis because the examination is more difficult than in older patients and need skills of communication between the surgeon and the child.