# Perforated Appendicitis in a 23-Month-Old Child

**Authors:** Julián Aguilar, Alyssa Goldman, Adi Cohen, David Smith

PMC · DOI: 10.7759/cureus.82200 · Cureus · 2025-04-13

## TL;DR

This paper discusses a rare case of perforated appendicitis in a young child and emphasizes the importance of timely diagnosis and treatment.

## Contribution

The paper presents a specific case of perforated appendicitis in a 23-month-old and highlights diagnostic challenges in young children.

## Key findings

- Appendicitis in young children can be difficult to diagnose due to overlapping symptoms with other abdominal conditions.
- Prompt recognition and intervention are crucial to prevent complications and mortality in pediatric appendicitis cases.

## Abstract

Appendicitis is caused by a blockage of the appendix, leading to the proliferation of intestinal bacteria and subsequent inflammation of the appendix. Within the scope of pediatrics, appendicitis is associated with an atypical presentation, and its symptoms can overlap with other abdominal conditions, contributing to a higher risk of misdiagnosis. Despite its relatively low prevalence in patients less than four years of age, appendicitis remains a critical condition that requires prompt recognition and intervention to avoid complications and ensure favorable outcomes. We present a case of perforated appendicitis in a 23-month-old female patient who presented to the emergency department with abdominal pain. This report highlights the challenges in diagnosing appendicitis in this age group and reviews current guidelines for the evaluation of suspected appendicitis in young children. Emphasis is placed on the importance of timely diagnosis and surgical intervention to reduce complications and prevent mortality.

## Linked entities

- **Diseases:** appendicitis (MONDO:0005649)

## Full-text entities

- **Genes:** CRP (C-reactive protein) [NCBI Gene 1401] {aka PTX1}
- **Diseases:** Appendicitis (MESH:D001064), phlegmon (MESH:D002481), neutrophilic leukocytosis (MESH:D007964), malrotation (MESH:C562456), gastroenteritis (MESH:D005759), abscess (MESH:D000038), fever (MESH:D005334), situs inversus totalis (MESH:D012857), tenderness (MESH:D063806), adhesions (MESH:D000267), acute abdomen (MESH:D000006), appendix (MESH:D001063), intussusception (MESH:D007443), emesis (MESH:D014839), pain (MESH:D010146), tachycardia (MESH:D013610), nausea (MESH:D009325), inflammation (MESH:D007249), intestinal obstruction (MESH:D007415), abdominal pain (MESH:D015746), adenitis (MESH:D008199), infection (MESH:D007239), hernia (MESH:D006547), diarrhea (MESH:D003967), congenital abnormalities (MESH:D000013)
- **Chemicals:** piperacillin (MESH:D010878), ondansetron (MESH:D017294), piperacillin and tazobactam (MESH:D000077725), bilirubin (MESH:D001663), tazobactam (MESH:D000078142), acetaminophen (MESH:D000082), morphine (MESH:D009020)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

2 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12079175/full.md

## References

10 references — full list in the complete paper: https://tomesphere.com/paper/PMC12079175/full.md

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Source: https://tomesphere.com/paper/PMC12079175