Atypical Appendicitis in Children: Clinical Presentation, Imaging Features, and Management Plan Article Swipe
Gihad Alsaeed
,
Ali H. Alassiri
,
Tamer Rizk
,
Anas Alshamali
,
Suhib Alsaeed
,
Mohamed Aslaeed
,
L. Bakri
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.11648/j.ajp.20230902.18
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.11648/j.ajp.20230902.18
Atypical appendicitis is not uncommon in pediatrics. Factors that are usually seen in such presentations include: Age less than five years, developmental delay, ectopic anatomic location of the appendix, subacute or chronic appendicitis, and symptomatic treatment in addition to early inconclusive investigations. Children with Autistic spectrum disorder often suffer from communication problems, which might affect their ability to deliver their complaints effectively. It is usually parent's interpretation that physicians will rely on as they are the best to delineate minor changes of their children's behavior and body language signs, so that a correct diagnosis may be reached. Atypical appendicitis is usually a delayed diagnosis with increased morbidity and mortality. In this paper we illustrate the possible causes of atypical appendicitis in childhood, and review its clinical presentation, radiologic findings, and management plan as mentioned in medical literature. We also present a rare case of subacute appendicitis in a 5 years old autistic girl with atypical presentation, misleading imaging features, and re-admission after successful laparoscopy. Our aim is to present the importance of clinical assessment and suggest an approach to improve practice regarding childhood appendicitis which can be an endless trap for both patients and practitioners.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.11648/j.ajp.20230902.18
- http://article.sciencepg.com/pdf/ajp.20230902.18
- OA Status
- diamond
- Cited By
- 1
- References
- 18
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4390011456
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4390011456Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.11648/j.ajp.20230902.18Digital Object Identifier
- Title
-
Atypical Appendicitis in Children: Clinical Presentation, Imaging Features, and Management PlanWork title
- Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-06-21Full publication date if available
- Authors
-
Gihad Alsaeed, Ali H. Alassiri, Tamer Rizk, Anas Alshamali, Suhib Alsaeed, Mohamed Aslaeed, L. BakriList of authors in order
- Landing page
-
https://doi.org/10.11648/j.ajp.20230902.18Publisher landing page
- PDF URL
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https://article.sciencepg.com/pdf/ajp.20230902.18Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
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https://article.sciencepg.com/pdf/ajp.20230902.18Direct OA link when available
- Concepts
-
Presentation (obstetrics), Appendicitis, Plan (archaeology), Medicine, General surgery, Radiology, History, ArchaeologyTop concepts (fields/topics) attached by OpenAlex
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1Total citation count in OpenAlex
- Citations by year (recent)
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2025: 1Per-year citation counts (last 5 years)
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18Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.will | 69 |
| abstract_inverted_index.with | 43, 104, 153 |
| abstract_inverted_index.after | 161 |
| abstract_inverted_index.early | 39 |
| abstract_inverted_index.might | 53 |
| abstract_inverted_index.minor | 79 |
| abstract_inverted_index.often | 47 |
| abstract_inverted_index.paper | 111 |
| abstract_inverted_index.their | 55, 59, 82 |
| abstract_inverted_index.which | 52, 184 |
| abstract_inverted_index.years | 149 |
| abstract_inverted_index.affect | 54 |
| abstract_inverted_index.causes | 116 |
| abstract_inverted_index.delay, | 22 |
| abstract_inverted_index.review | 123 |
| abstract_inverted_index.signs, | 88 |
| abstract_inverted_index.suffer | 48 |
| abstract_inverted_index.years, | 20 |
| abstract_inverted_index.Factors | 7 |
| abstract_inverted_index.ability | 56 |
| abstract_inverted_index.changes | 80 |
| abstract_inverted_index.chronic | 31 |
| abstract_inverted_index.correct | 92 |
| abstract_inverted_index.delayed | 102 |
| abstract_inverted_index.deliver | 58 |
| abstract_inverted_index.ectopic | 23 |
| abstract_inverted_index.endless | 188 |
| abstract_inverted_index.imaging | 157 |
| abstract_inverted_index.improve | 179 |
| abstract_inverted_index.medical | 135 |
| abstract_inverted_index.present | 139, 168 |
| abstract_inverted_index.suggest | 175 |
| abstract_inverted_index.usually | 10, 64, 100 |
| abstract_inverted_index.Atypical | 0, 97 |
| abstract_inverted_index.Autistic | 44 |
| abstract_inverted_index.Children | 42 |
| abstract_inverted_index.addition | 37 |
| abstract_inverted_index.anatomic | 24 |
| abstract_inverted_index.approach | 177 |
| abstract_inverted_index.atypical | 118, 154 |
| abstract_inverted_index.autistic | 151 |
| abstract_inverted_index.behavior | 84 |
| abstract_inverted_index.clinical | 125, 172 |
| abstract_inverted_index.disorder | 46 |
| abstract_inverted_index.include: | 15 |
| abstract_inverted_index.language | 87 |
| abstract_inverted_index.location | 25 |
| abstract_inverted_index.parent's | 65 |
| abstract_inverted_index.patients | 192 |
| abstract_inverted_index.possible | 115 |
| abstract_inverted_index.practice | 180 |
| abstract_inverted_index.reached. | 96 |
| abstract_inverted_index.spectrum | 45 |
| abstract_inverted_index.subacute | 29, 144 |
| abstract_inverted_index.uncommon | 4 |
| abstract_inverted_index.appendix, | 28 |
| abstract_inverted_index.childhood | 182 |
| abstract_inverted_index.delineate | 78 |
| abstract_inverted_index.diagnosis | 93, 103 |
| abstract_inverted_index.features, | 158 |
| abstract_inverted_index.findings, | 128 |
| abstract_inverted_index.increased | 105 |
| abstract_inverted_index.mentioned | 133 |
| abstract_inverted_index.morbidity | 106 |
| abstract_inverted_index.problems, | 51 |
| abstract_inverted_index.regarding | 181 |
| abstract_inverted_index.treatment | 35 |
| abstract_inverted_index.assessment | 173 |
| abstract_inverted_index.childhood, | 121 |
| abstract_inverted_index.children's | 83 |
| abstract_inverted_index.complaints | 60 |
| abstract_inverted_index.illustrate | 113 |
| abstract_inverted_index.importance | 170 |
| abstract_inverted_index.management | 130 |
| abstract_inverted_index.misleading | 156 |
| abstract_inverted_index.mortality. | 108 |
| abstract_inverted_index.physicians | 68 |
| abstract_inverted_index.radiologic | 127 |
| abstract_inverted_index.successful | 162 |
| abstract_inverted_index.literature. | 136 |
| abstract_inverted_index.pediatrics. | 6 |
| abstract_inverted_index.symptomatic | 34 |
| abstract_inverted_index.appendicitis | 1, 98, 119, 145, 183 |
| abstract_inverted_index.effectively. | 61 |
| abstract_inverted_index.inconclusive | 40 |
| abstract_inverted_index.laparoscopy. | 163 |
| abstract_inverted_index.re-admission | 160 |
| abstract_inverted_index.appendicitis, | 32 |
| abstract_inverted_index.communication | 50 |
| abstract_inverted_index.developmental | 21 |
| abstract_inverted_index.presentation, | 126, 155 |
| abstract_inverted_index.presentations | 14 |
| abstract_inverted_index.interpretation | 66 |
| abstract_inverted_index.practitioners. | 194 |
| abstract_inverted_index.investigations. | 41 |
| cited_by_percentile_year.max | 95 |
| cited_by_percentile_year.min | 91 |
| countries_distinct_count | 4 |
| institutions_distinct_count | 7 |
| citation_normalized_percentile.value | 0.68230653 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |