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To determine if non-operative management with antibiotics alone is a feasible treatment alternative for pediatric patients with uncomplicated acute appendicitis with an appendicolith identified on imaging.
Full description
This study is a prospective randomized clinical trial comparing non-operative management with antibiotics to urgent appendectomy in children (ages 7-17yrs) with acute appendicitis with the presence of an appendicolith. Enrolled participants were followed up to 1 year post-discharge to observe the rates of appendicitis recurrence as well as identify the number of patients with complicated appendicitis as determined by pathologic examination.
Enrollment
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Volunteers
Inclusion criteria
Age : 7-17 years
Abdominal pain </= 48hours prior to receiving antibiotics
White Blood Cell Count >5 but < 18
US or CT confirmed early appendicitis plus:
Exclusion criteria
Primary purpose
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Interventional model
Masking
14 participants in 2 patient groups
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Data sourced from clinicaltrials.gov
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