Appendicitis in leukemia and aplastic anemia: Neutropenia not a contraindication to surgery Journal Article


Authors: Corbally, M. T.; Laver, J.; LaQuaglia, M.; Exelby, P.
Article Title: Appendicitis in leukemia and aplastic anemia: Neutropenia not a contraindication to surgery
Abstract: The management of the neutropenic child with abdominal pain can be difficult. It has been suggested that the clinical findings are unreliable in assessing the need for surgical intervention. This retrospective study of ten neutropenic children who underwent emergent appendectomy at this institution over the past 21 years suggests that careful clinical evaluation is essential in planning therapy. Pain was a universal complaint and was associated with fever in 70% of patients. Clinical assessment was correct in 80% of this group, whose mean absolute neutrophil count was 0.59±0.36 (mean ± SD) at the time of presentation. All patients survived surgery and mean hospitalization was 12.8±5.3 days. We conclude that appendectomy can be performed safely in the presence of neutropenia. © 1991 Springer-Verlag.
Keywords: adolescent; clinical article; school child; leukemia; neutropenia; appendicitis; aplastic anemia; surgical outcome; prognosis; human; male; female; article
Journal Title: Pediatric Surgery International
Volume: 6
Issue: 2
ISSN: 0179-0358
Publisher: Springer Verlag  
Date Published: 1991-03-01
Start Page: 104
End Page: 107
Language: English
DOI: 10.1007/bf00176411
PROVIDER: scopus
DOI/URL:
Notes: Source: Scopus
Altmetric
Citation Impact
BMJ Impact Analytics
MSK Authors
  1. Philip Exelby
    30 Exelby
  2. Joseph Laver
    29 Laver