Henry et al evaluated children with a perforated appendix and identified risk factors associated with the subsequent development of an abscess. The authors are from Yale University, University of Missouri, University of Mississippi and Stanford University.


Patient selection: pediatric patient from 1 to 18 years of age with a perforated appendix


Risk factors associated with development of an abscess:

(1) presence of diarrhea at presentation

(2) identification of a fecalith in the operating room



• Identification of a fecalith on imaging study or in the pathology specimen should also be significant.


A child can be safely discharged if on day 3 s/he is:

(1) afebrile

(2) eating


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