{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T15:55:49Z","timestamp":1784649349054,"version":"3.55.0"},"reference-count":47,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2024,7,28]],"date-time":"2024-07-28T00:00:00Z","timestamp":1722124800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["ANZ Journal of Surgery"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Acute appendicitis is the most common aetiology of acute abdomen in children. Our aim is to describe the accuracy of diagnosis, and complications in a limited resources setting in children between 5 and 14\u2009years old at the only tertiary referral hospital in the West region of Afghanistan.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective study for a period of 1 year (21 March 2015\u201320 March 2016). Data was collected from patients' files. Data were analysed by epi info 7.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified 774 children who had appendectomies at Herat Regional Hospital during the study period with complete records available for analysis. The median age was 11\u2009years [5\u201314]. The rate of positive appendectomy was 87%. 72% of appendectomies were done within 24\u2009h of the onset of symptoms. Of 675 positive appendectomies, the most common clinical features were migratory abdominal pain (90%), nausea\/vomiting (80%), RLQ tenderness (90%), and rebound tenderness (81%). Among the 99 negative appendectomies, the most common signs and symptoms were anorexia 68%, nausea\/vomiting 59%, RLQ tenderness 79%, and rebound tenderness 43%. 98% of positive and 71% of negative appendectomies had elevated WBC count. Post appendectomy complications occurred in 9% of our patients mostly commonly intra\u2010abdominal abscesses (5%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Although the diagnosis of acute appendicitis is challenging in children and may involve sophisticated imaging techniques, in many settings these are unavailable. Classical manifestations such as migratory abdominal pain, abdominal tenderness, nausea, and simple lab tests play a crucial role in the diagnosis of acute appendicitis in low resource environments.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ans.19165","type":"journal-article","created":{"date-parts":[[2024,7,29]],"date-time":"2024-07-29T01:29:13Z","timestamp":1722216553000},"page":"1578-1583","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Uncomplicated appendicitis at Herat Regional Hospital: limited resource is not always the end of the world"],"prefix":"10.1111","volume":"94","author":[{"given":"Ezmary","family":"Azimi","sequence":"first","affiliation":[{"name":"Surgery Department Herat Regional Hospital  Herat Afghanistan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Rafi","family":"Fazli","sequence":"additional","affiliation":[{"name":"Surgery Department, Faculty of Medicine and Health Sciences The University of Auckland  Auckland New Zealand"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9866-6462","authenticated-orcid":false,"given":"Neil","family":"Price","sequence":"additional","affiliation":[{"name":"Monash Children's Hospital &amp; Monash University  Melbourne Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hania","family":"Wahidi","sequence":"additional","affiliation":[{"name":"Ghalib Medical Faculty Ghalib University  Herat Afghanistan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,28]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006565-199206000-00003"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.98.4.680"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a115734"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-198304000-00039"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(05)80276-3"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1445-2197.1988.tb06241.x"},{"key":"e_1_2_8_8_1","first-page":"99","article-title":"Appendicitis in infancy","volume":"130","author":"Bartlett RH","year":"1970","journal-title":"Surg. 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