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Causes of adverse course of acute appendicitis in children

We analyzed 220 observations of complicated forms of acute appendicitis in children and medical histories of 22 patients who died of the disease. The causes of the adverse course of acute appendicitis were studied at three stages of medical care: 1) at the level of pediatric areas, ambulance services, and somatic pediatric departments, 2) in the general surgical departments of the CDC, and 3) in specialized pediatric surgical departments.