Patient's question:
Right lower abdomen, pain in the umbilical area, no high fever. Hospitalized from January 4th to January 13th. Previous treatment and outcomes: Abdominal ultrasound showed no appendicitis swelling in the right lower abdomen, no abdominal effusion. Received Cefpirome and Metronidazole intravenously in the hospital. White blood cell count was high at 19.7, then confirmed...Doctor's answer:
Lymph node enlargement is one of the common diseases that are often confused with appendicitis. Its characteristics are also right lower abdominal pain, usually preceded by fever, and no obvious symptoms of peritonitis during abdominal pain, making surgery unnecessary. The characteristics of appendicitis are migratory right lower abdominal pain, starting as periumbilical pain and later shifting to the right lower abdomen, becoming fixed. In children, appendicitis is more prone to perforation due to underdeveloped peritoneal growth, leading to diffuse peritonitis and a high mortality rate.Based on these points, it should be clear how children exhibit peritonitis. If it is mesenteric lymph node enlargement, surgery is not required. If it is appendicitis, surgery is necessary.