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May 1952

APPENDICITIS DURING FIRST TWO YEARS OF LIFE: Report on Twenty-One Cases and Review of Four Hundred Forty-Seven Cases from the Literature

Author Affiliations

From the Department of Surgery, University of Southern California Medical School, and the Childrens Hospital.

AMA Arch Surg. 1952;64(5):549-560. doi:10.1001/archsurg.1952.01260010567004

APPENDICITIS in the age group from birth to 2 years is of special interest for the following reasons: (1) It is not the most frequent cause of an acute condition in the abdomen as it is in older children and adults; (2) it has been reported 447 times in the literature; (3) it masquerades as gastrointestinal upsets and upper respiratory infections until 71% of the cases have perforated, and (4) there is now available a program of management that, despite late diagnosis, will almost achieve Charles McBurney's cherished goal of saving "all of them."

Attention was focused on appendicitis in infancy by Griffith1 at the turn of the century, and again in 1917 by Abt,2 who at that time found but 80 reported cases. At present (1951) 367 additional cases have been reviewed in the literature3 (Tables 1, 2, and 3). The information thus accumulated is supplemented