Faisal Aijaz Shah , Raghad Abdulaziz Al Thomali , Sultan Oraiban Gohal , Rana Hummam Attar , Rasis Khalid Saber , Razan Sultan Al-Huffian , Eyad Waleed M Khoushbai , Rayan Eyadah Alhelali , Rayan Abdulkhaliq Alzahrani , Mohammad Saleh Almarri

Abstract

Appendicitis is the inflammation of the vermiform appendix due to the congestion of the lumen or impaction of the stool debris or both. The diagnosis and algorithm of the treatment in the pediatric age group are different in those peers in adults. Specific consideration should be the focus of the treating team to achieve the desired outcomes. We aimed to review the literature looking for the etiology of appendicitis in pediatrics, clinical presentations, diagnosis, and management of this disease. PubMed database was used for articles selection, gathered papers had undergone a thorough review. In conclusion, the steps that need to be taken to reach diagnosis are a combination of physical examination, laboratory findings, along imaging results. Following proposed scoring systems can ease the reaching to the diagnosis, or exclude it. It is especially important as the preschooler cannot properly express their pain and concerns. The non-operative approach is the mainstay of uncomplicated cases, where the operative management is preserved for more difficult cases.