Diagnosis and management of pediatric appendicitis, intussusception, and Meckel diverticulum

Surg Clin North Am. 2012 Jun;92(3):505-26, vii. doi: 10.1016/j.suc.2012.03.011.

Abstract

Three of the most common causes of surgical abdominal pain in pediatric patients include appendicitis, Meckel diverticulum, and intussusception. All 3 can present with right lower quadrant pain, and can lead to significant morbidity and even mortality. Although ultrasound is the preferred method of diagnosis with appendicitis and intussusception, considerable variety exists in the modalities needed in the diagnosis of Meckel diverticulum. This article discusses the pathways to diagnosis, the modes of treatment, and the continued areas of controversy.

Publication types

  • Review

MeSH terms

  • Abdominal Pain / etiology*
  • Anti-Bacterial Agents / therapeutic use
  • Appendectomy*
  • Appendicitis / complications
  • Appendicitis / diagnosis
  • Appendicitis / drug therapy
  • Appendicitis / surgery*
  • Child
  • Diagnosis, Differential
  • Humans
  • Intestines / surgery
  • Intussusception / complications
  • Intussusception / diagnosis
  • Intussusception / drug therapy
  • Intussusception / surgery*
  • Laparoscopy*
  • Meckel Diverticulum / complications
  • Meckel Diverticulum / diagnosis
  • Meckel Diverticulum / surgery*

Substances

  • Anti-Bacterial Agents