Abstract
Chronic Appendicitis (CA) is still considered a controversial diagnosis. Although it should be included in the differential diagnosis of recurrent abdominal pain. It was initially reported by Crymble and Forsythe, who defined chronic appendicitis as a condition with one or more mild attacks of appendicitis occurring in a sequence that might include more severe attacks [1]. This definition has mildly changed over the years. In current practice, chronic appendicitis is best defined by clinical course and histological findings as a long-standing inflammation or fibrosis of the appendix that presents clinically as prolonged (> 48 hours) or intermittent abdominal pain. Ultrasound imaging has been widely used (using graded compression technique for appendix visualization) for the diagnosis and follow up of acute appendicitis [2-5]. But there are no definite sonographic criteria for chronic appendicitis. We present the case of a 9, 5-year-old girl with history of recurrent abdominal pain lasting one and a half month with co-existence of mesenteric adenitis, who eventually underwent appendectomy and histopathology revealed acute or chronic appendicitis.
Citation
Boursiani C, Charalampoulos G, Boursianis T, Thanasas I and Karapostolakis G. Atypical or Non typical appendicitis in children Appendicitis in Children. Chronic or Acute? The Role of Ultrasound. A Case Report Appendicitis in Children. Chronic or Acute? The Role of Ultrasound. A Case Report. SM J Pediatr Surg. 2017; 3(3): 1046.