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Recurrent Appendicitis in Children: The Impact of a Poorly Known Disease

2023-10Journal article Open access
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dc.contributor.authorMonteiro, Sara
dc.contributor.authorCapela, Mariana
dc.contributor.authorAraújo, Ana Rita
dc.contributor.authorTavares, Marta
dc.contributor.authorPinto, João
dc.date.accessioned2024-06-18T11:47:25Z
dc.date.available2024-06-18T11:47:25Z
dc.date.issued2023-10
dc.description.abstractChronic and recurrent appendicitis is rare in pediatric patients and can be easily misdiagnosed due to its unusual presentation and low incidence rate. We present the case of an 11-year-old male with recurrent right lower quadrant (RLQ) pain persisting for 19 months. The patient experienced pain flare-ups accompanied by paleness and gait limp, without fever or other symptoms. Despite extensive medical examinations, including imaging and endoscopy, a definitive diagnosis remained elusive. As serial abdominal ultrasounds reported an appendix at the upper limit of the normal caliber and symptoms persisted despite medical therapy, a diagnostic laparoscopy was performed, revealing a congested ileocecal appendix with erosions and granulocytic inflammatory infiltrate, consistent with appendicitis. Post-appendectomy, the patient's symptoms resolved, significantly improving his quality of life (QoL), as evidenced by the DISABKIDS Chronic Generic Module (DCGM). This case underscores the challenges in diagnosing chronic and recurrent appendicitis, emphasizing the need for improved awareness, case definitions, and research to better understand and manage these conditions. Moreover, the report highlights the substantial impact of such conditions on patients' physical, social, and psychological well-being using the only health-related QoL instrument developed across cultures for children with chronic diseases: the DCGM.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationMonteiro S, Capela M, Araújo AR, Tavares M, Pinto J. Recurrent Appendicitis in Children: The Impact of a Poorly Known Disease. Cureus. 2023;15(10):e46350. doi:10.7759/cureus.46350pt_PT
dc.identifier.doi10.7759/cureus.46350pt_PT
dc.identifier.issn2168-8184
dc.identifier.urihttp://hdl.handle.net/10400.16/2962
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherCureus, Inc.pt_PT
dc.relation.publisherversionhttps://journals.plos.org/plosone/article?id=10.1371/journal.pone.0260322pt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectabdominal painpt_PT
dc.subjectappendicular inflammationpt_PT
dc.subjectchildrenpt_PT
dc.subjectchronic appendicitispt_PT
dc.subjectrecurrent appendicitispt_PT
dc.titleRecurrent Appendicitis in Children: The Impact of a Poorly Known Diseasept_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.conferencePlaceUnited States of Americapt_PT
oaire.citation.issue10pt_PT
oaire.citation.startPagee46350pt_PT
oaire.citation.titleCureuspt_PT
oaire.citation.volume15pt_PT
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT

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