Management of acute appendicitis in pediatric patients with acute leukemia: Insights from a single‐center study

Author:

Keidar Hila Rosenfeld1,Manisterski Michal1,Orenstein Michal1,Sukhotnik Igor2,Elhasid Ronit1ORCID

Affiliation:

1. Departments of Pediatric Hemato‐Oncology Tel Aviv Medical Center Faculty of Medicine Tel Aviv University Tel Aviv Israel

2. Departments of Pediatric Surgery Tel Aviv Medical Center Faculty of Medicine Tel Aviv University Tel Aviv Israel

Abstract

AbstractAcute appendicitis (AA) in pediatric patients with acute leukemia mandates prompt treatment. Diagnosis presents challenges, relying on clinical and radiological assessments, often leading to treatment delays that may disrupt leukemia management. Our study on 14 such cases underscores the pivotal role of swift intervention. While conservative AA treatment may pose no risk to healthy children, our findings mandate the performance of laparoscopic appendectomy within 24 hours of diagnosis. This strategy yielded successful surgical outcomes while ensuring uninterrupted leukemia care. Our experience contributes important insights to the limited understanding of navigating this complex clinical scenario.

Publisher

Wiley

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