Pericardial disease as a rare complication of pediatric appendicitis: a systematic literature search

JA Clinical Reports

James Robertson¹  Mark Levine¹  Kazuyoshi Aoyama²  Maria-Alexandra Petre³  Bibek Saha⁴  Marina Englesakis⁵ 

[1] Department of Anesthesia and Pain Medicine, The Hospital for Sick Children, 555 University Ave, #2211, M5G 1X8, Toronto, ON, Canada;Department of Anesthesia and Pain Medicine, The Hospital for Sick Children, 555 University Ave, #2211, M5G 1X8, Toronto, ON, Canada;Program in Clinical Health Evaluative Sciences, The SickKids Research Institute, 555 University Ave, #2211, M5G 1X8, Toronto, ON, Canada;Department of Pediatric Anesthesia, Montreal Children’s Hospital, 1001 Decarie Blvd, H4A 3J1, Montreal, QC, Canada;John A. Burns School of Medicine, University of Hawaii at Manoa, 651 Ilalo St, 96813, Honolulu, HI, USA;Department of Anesthesia and Pain Medicine, The Hospital for Sick Children, 555 University Ave, #2211, M5G 1X8, Toronto, ON, Canada;Library and Information Services, University Health Network, 200 Elizabeth St, M5G 2C4, Toronto, ON, Canada;

关键词: Pericarditis;    Pericardial effusion;    Cardiac tamponade;    Acute appendicitis;    Pediatric anesthesia;   

DOI  :  10.1186/s40981-020-00395-8

来源: Springer

【 摘 要 】

BackgroundClassic symptoms of acute appendicitis are well known but are uncommon and often misinterpreted in pediatric patients, potentially delaying diagnosis and resulting in rare sequelae.MethodsWe conducted a comprehensive systematic literature search of case reports detailing pericardial disease as a rare complication of pediatric appendicitis through MEDLINE, Embase, and Cochrane Databases. Inclusion criteria was that the patient must be < 18 years old and present with both pericardial disease and appendicitis.ResultsOur search yielded 7 cases with an average age of 10.3 ± 3.9 years old. The cases involved cardiac tamponade, pericarditis, and/or pericardial effusion. Five cases were diagnosed with appendicitis before complicated by pericardial disease. Most cases had an infectious component, but a majority had negative pericardial fluid cultures. Pleural effusion and abdominal abscesses were other common complications of pediatric appendicitis.ConclusionAwareness of this uncommon relationship may have prognostic value as this may facilitate appropriate management of pericardial effusions, tamponade, and/or appendicitis.

【 授权许可】

CC BY