How is perforated pediatric appendicitis defined?

Updated: Oct 25, 2018
  • Author: Adam C Alder, MD; Chief Editor: Carmen Cuffari, MD  more...
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Perforated appendicitis (diagnosed either by intraoperative findings or by positive intraoperative cultures) is associated with a postoperative infection rate of as high as 30%. Children with perforated appendicitis require antibiotic therapy for a minimum of 7-10 days. Often, intra-abdominal abscesses that require drainage may develop. A high index of suspicion for a postoperative abscess is required in the patient with perforated appendicitis who has fevers or ileus that last more than 5 days. A child who develops a postoperative abscess or a small bowel obstruction may need additional surgery and may have a prolonged hospital stay.

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