Calculation of the total index of intoxication in acute appendicitis in children

Abstract

Accuracy in the diagnosis of acute appendicitis remains an important problem in modern pediatric surgery. Diagnosis of acute appendicitis in children is complicated due to significant anatomical differences and physiological features of the child’s body, which leads to a delay in surgical treatment and, accordingly, to an increased risk of complications. In addition, the differential diagnosis of pathological processes that simulate acute appendicitis, in some cases is a big problem, especially in young children. In order to integrate clinical and laboratory signs of acute inflammatory processes in the abdominal cavity, surgical specialists have proposed a number of so-called diagnostic scales for patient stratification, including for the diagnosis of acute appendicitis, such as Alvarado, Lindberg, Fenyo, Christian, Eskelien and etc. In pediatric practice, the diagnostic scale Lintula is proposed, the sensitivity of which was 87%, specificity 59% and accuracy 74%.