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Archivos de Pediatría del Uruguay

versión impresa ISSN 0004-0584versión On-line ISSN 1688-1249


GOMEZ, Noelia et al. Abdominal pain: when should we consider acute appendicitis? epidemiological and clinical characteristics of children admitted to the Uruguayan Police Forces hospital between june 2008 and november 2014. Arch. Pediatr. Urug. [online]. 2020, vol.91, n.2, pp.78-83.  Epub 01-Abr-2020. ISSN 0004-0584.


acute abdominal pain is a reason for frequent consultation in Pediatrics. It is important to diagnose acute appendicitis in time, thus reducing morbidity and mortality.


to analyze the epidemiological characteristics, statistics and evolution of children admitted for abdominal pain. Identify the clinical and paraclinical characteristics that lead to diagnosis of acute appendicitis.


observational, descriptive, retrospective study of children under 14 years of age previously admitted to the Pediatric ward from June 2008 to November 2014. Data source: Review of Electronic Medical Records.


we included 217 patients, 52% girls (112) and 48% boys (105). The pain was in the right iliac fossa 51% (110). 29% (63) of the cases took place in Spring, 24% (52) Summer, 24% (52) Autumn and 23% (50) in Winter. Of the children with appendicitis: 61% (54) presented vomiting, 26% (23) saburral tongue, 40% (39) fever, and 53% of them (19) had 38 to 38.9°C temperature. 45% (40) of them showed more than 15,000 leukocytes, 41% (37) less than 15,000 and no blood count was performed on 14% of patients. CRP was lower than 20 mg/L in 32% (28) of patients and higher in 22% (20) of them. Abdominal ultrasound was normal in 56% (22) of patients. 5% (6) of them presented complications during hospitalization.


the most frequent diagnosis was acute appendicitis, followed by nonspecific abdominal pain. Most appendicitis cases diagnosed were confirmed intraoperatively and through pathological anatomical analysis. Pain as a symptom had a better diagnostic performance. Vomiting and fever are associated with a higher probability of acute appendicitis. 40% of the patients had fever, mainly between 38 and 38.9°C. Leukocytosis and C-reactive protein were leading factors for the diagnosis of appendicitis. Abdominal ultrasound was also inconclusive.

Palabras clave : Appendicitis; Abdominal pain.

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