Appendicitis is the most common surgical diagnosis for children who present with abdominal pain to the emergency department. However,
there are nonspecific examination findings and variable historical features during its presentation. Diagnosis of appendicitis in the pediatric
patient may be challenging for the clinician dealing with these patients. It is important to have a high index of suspicion and taking a detailed
history and physical examination. In diagnosis of appendicitis, adjunctive studies that may be useful are the white blood cell count, C-reactive
protein, urinalysis, ultrasonography and computerized tomography when necessary. When appendicitis is suspected, patients should receive
immediate surgical consultation, as well as volume replacement and antibiotics if indicated. With this timely approach it will be possible to
prevent the significant morbidity that is associated with delayed diagnoses in younger patients.