Chapter 20
Management of Acute Uncomplicated Appendicitis in Pediatric Patients: A Review
- By Kumar Hari Rajah - 23 Jul 2026
- Emerging Trends in Medical Research and Practice, Volume: 1, Pages: 109 - 114
Abstract/Preface
Acute appendicitis is the most prevalent surgical emergency in children and a primary cause of acute abdominal pain necessitating surgical intervention. Despite advancements in diagnostic techniques and perioperative care, diagnosing pediatric patients remains challenging due to age-related symptom variability, communication difficulties, and symptom overlap with other abdominal conditions. Delayed diagnosis can lead to perforation, abscess formation, sepsis, and extended hospitalization. Conversely, overdiagnosis may result in unnecessary appendectomies and increased healthcare costs. Management of acute uncomplicated appendicitis in children includes non-operative treatment with antibiotics and laparoscopic appendectomy. Laparoscopic appendectomy remains the standard treatment for uncomplicated appendicitis; however, an antibiotic-first approach may be suitable for selected patients. This review examines the roles of non-operative treatment and laparoscopic appendectomy in managing acute, uncomplicated appendicitis. Additionally, it evaluates the role of appendicolith in the non-operative management of acute appendicitis in children.