Consideration of Pediatric Appendicitis–mimicking Diseases in Phaholpolpayuhasena Hospital
Abstract
Diagnosis of acute appendicitis in children is challenging because there are many potential diseases which have the mimicking clinical manifestations. The objective of this study was to find the way to differentiate these diseases and make the accurate diagnosis to avoid unnecessary surgery and any complications. Retrospective study of 233 pediatric patients under 12 year of age who were suspected acute appendicitis and admitted at Phaholpolpayuhasena Hospital from October 2019 to September 2021. Patient demographic data, clinical characteristics, laboratory investigation, imaging studies, pathologic results, definite diagnosis and management were collected and analyzed.
The study indicated that there were some different details of the clinical presentations between Appendicitis and Non-appendicitis groups. So, consideration of the mimicking diseases, clear history taking and complete physical examination could help to distinguish these conditions. Moreover, the proper imaging studies (abdominal radiography or ultrasonography) should be performed for further assessment in equivocal cases.
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของโรงพยาบาลพหลพลพยุหเสนา
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับโรงพยาบาลพหลพลพยุหเสนาและบุคลากรท่านอื่น ๆ ในโรงพยาบาลฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเอง
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