{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T12:55:11Z","timestamp":1762001711388},"reference-count":68,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,1,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Acute abdominal complaints in children are common presentations in the emergency department. The aetiology, presentation, diagnosis and management often differ from those in adults.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>This review was based on expert paediatric surgical experience confirmed by evidence from the literature obtained by searching PubMed and the Cochrane Library. Keywords used were the combinations of \u2018abdominal emergencies\u2019, \u2018acute abdomen\u2019 and the disorders \u2018acute appendicitis\u2019, \u2018intussusception\u2019, \u2018volvulus\u2019, \u2018Meckel's diverticulum\u2019, \u2018incarcerated inguinal hernia\u2019, \u2018testicular torsion\u2019 and \u2018ovarian torsion\u2019 with \u2018children\u2019. Information was included from reviews, randomized clinical trials, meta-analyses, and prospective and retrospective cohort studies.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Presentation and symptoms of abdominal emergencies, especially in young children, vary widely, which renders recognition of the underlying disorder and treatment challenging. Critically targeted imaging techniques are becoming increasingly important in obtaining the correct diagnosis without unnecessary delay. Minimally invasive techniques have become the method of choice for the diagnosis and treatment of many abdominal emergencies in children.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>Knowledge of abdominal disorders in childhood, their specific presentation, diagnosis and treatment facilitates management of children with acute abdomen in emergency departments. Imaging and minimally invasive techniques are becoming increasingly important in the diagnosis of acute abdomen in children. Urgent operation remains the cornerstone of therapy for most acute abdominal disorders.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1002\/bjs.9335","type":"journal-article","created":{"date-parts":[[2013,11,29]],"date-time":"2013-11-29T14:40:10Z","timestamp":1385736010000},"page":"e24-e33","source":"Crossref","is-referenced-by-count":29,"title":["Contemporary management of abdominal surgical emergencies in infants and children"],"prefix":"10.1093","volume":"101","author":[{"given":"L W E","family":"van Heurn","sequence":"first","affiliation":[{"name":"Department of Paediatric Surgery, Maastricht University Medical Centre , Maastricht,","place":["The Netherlands"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M P","family":"Pakarinen","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Children's Hospital, Helsinki University , Helsinki,","place":["Sweden"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"T","family":"Wester","sequence":"additional","affiliation":[{"name":"Department of Paediatric Surgery, Karolinska University Hospital, Karolinska Institute , Stockholm,","place":["Sweden"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2014,1,1]]},"reference":[{"key":"2024092904584772400_bjs9335-bib-0001","doi-asserted-by":"crossref","first-page":"1196","DOI":"10.1016\/j.jemermed.2012.06.015","article-title":"Utility of the digital rectal examination in the emergency department: a review","volume":"43","author":"Kessler","year":"2012","journal-title":"J Emerg Med"},{"key":"2024092904584772400_bjs9335-bib-0002","doi-asserted-by":"crossref","first-page":"995","DOI":"10.1136\/adc.2008.137174","article-title":"Analgesia for children with acute abdominal pain and diagnostic accuracy","volume":"93","author":"Anderson","year":"2008","journal-title":"Arch Dis Child"},{"key":"2024092904584772400_bjs9335-bib-0003","doi-asserted-by":"crossref","first-page":"978","DOI":"10.1542\/peds.2005-0273","article-title":"Early analgesia for children with acute abdominal pain","volume":"116","author":"Green","year":"2005","journal-title":"Pediatrics"},{"key":"2024092904584772400_bjs9335-bib-0004","doi-asserted-by":"crossref","first-page":"1764","DOI":"10.1001\/jama.296.14.1764","article-title":"Do opiates affect the clinical evaluation of patients with acute abdominal pain?","volume":"296","author":"Ranji","year":"2006","journal-title":"JAMA"},{"key":"2024092904584772400_bjs9335-bib-0005","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1111\/j.1460-9592.2008.02807.x","article-title":"The efficacy and effect of opioid analgesia in undifferentiated abdominal pain in children: a review of four studies","volume":"19","author":"Sharwood","year":"2009","journal-title":"Paediatr Anaesth"},{"key":"2024092904584772400_bjs9335-bib-0006","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.7863\/jum.2012.31.8.1153","article-title":"Sonography as the first line of evaluation in children with suspected acute appendicitis","volume":"31","author":"Linam","year":"2012","journal-title":"J Ultrasound Med"},{"key":"2024092904584772400_bjs9335-bib-0007","doi-asserted-by":"crossref","first-page":"2277","DOI":"10.1056\/NEJMra072149","article-title":"Computed tomography \u2013 an increasing source of radiation exposure","volume":"357","author":"Brenner","year":"2007","journal-title":"N Engl J Med"},{"key":"2024092904584772400_bjs9335-bib-0008","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/j.jclinepi.2012.09.004","article-title":"Does this child have appendicitis? 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