Complications of appendicitis in children


Complications of appendicitis in childrenComplications of acute appendicitis arethreatening disease, which usually develops in the propagation of the inflammatory process with necrotic appendix to the surrounding tissue, peritoneum, subcutaneous fat and blood vessels.

Peritonitis - the most frequent and severe complicationappendicitis in children, one of the main causes of the tragic death. Inflammation may be limited to a small area of ​​the peritoneum, then this - limited or localized peritonitis. One of its variants is appendiceal infiltrate, which develops on the 3-4th day of disease with the advent of the disease in the iliac region, the still dense and education, there is a symptom Shchetkina-Blumberg, raising the temperature to 37-38 0C and moderate leukocytosis.

If the inflammation spread to severalareas of the abdomen, is the case of total or diffuse peritonitis, which is a deadly complication. Manifested by a significant increase of abdominal pain, fever, increase of leukocytosis. A sharp deterioration in the general condition of the child, increasing the size of the infiltration, increased symptoms of peritoneal irritation, which requires urgent surgical intervention.

Pretty dangerous and serious complication -inflammation of the portal vein or pylephlebitis has severe sepsis within and manifests rapidly rising fever, enlargement of the liver, tachycardia and hypotension. Terrible consequence of appendectomy are as intestinal obstruction and formation of blood clots.

Also inflammation of the appendix is ​​fraught with local complications - a bruising, ligature fistulas and abscess postoperative sutures.

On peculiarities of the flow of appendicitis in children

On peculiarities of the flow of appendicitis in childrenAcute inflammation of the appendixIt begins with its inner shell, and then extends to all of the layers, causing abscess or gangrene, which is accompanied by the destruction of the appendix and the output of pus into the peritoneal cavity. Full perforation process leads to the development of peritonitis. From the duration of the disease depends on its complexity and development stages: catarrhal process lasts for the first 6 hours after the onset of inflammation, abscess - for 24 hours and gangrenous - with a duration of illness up to 3 days.

The clinical picture of acute appendicitis in childrenpresented abdominal pain permanent nature, nausea, vomiting, fever up to 38 ° C and above, increased heart rate and a violation of intestinal function. Abdominal pain in the beginning of the process is diffuse in nature and only a few hours later the child is able to approximately specify its location, most often the lower right square is where is the cecum, it is the answer to the question: "How to identify appendicitis?" The child, as well as adults in this case characterized by repeated vomiting, anxiety, lack of sleep, loose stools with mucus, pain in the right iliac region. Parents at this time should pay attention to one feature: a child lies curled up, almost does not turn, there is bloating, gas and stool delay. Facial features are sharpened during the attack on the face - the fear, the child is scared, seeking protection and sympathy from her mother. Most mothers error, if at that time it, trying to help a daze, has resorted to traditional medicines, washes "clogged stomach" with enemas, or wanting to alleviate the suffering of the child, give him something for pain relief. Doing this should not in any case, it blurs the real picture of the patient's condition, it is necessary to see a specialist - pediatric surgery, a doctor will answer the question "How to identify appendicitis in a child?"

If the condition of the baby deteriorated, should beimmediately call the brigade "first aid", and to the arrival of the doctor is necessary to lay the baby, keep at rest and make cold on the lower abdomen. Diagnosis of appendicitis is abdominal palpation of the muscles that will show an experienced doctor on positive symptom Shchetkina-Blumberg. To confirm the diagnosis all the necessary laboratory tests will be performed in a hospital, including urine and blood samples and ultrasound appendix and abdominal organs.

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