Can Ultrasound Reliably Detect Complicated Appendicitis in Pediatric Patients?

While acute appendicitis (AA) is one of the most frequent emergency surgical conditions, diagnosing it continues to be challenging [1–3]. This can lead to late diagnosis of AA with complications, longer hospital stays, and higher postoperative morbidity [2]. Preoperative identification of children with complicated appendicitis (CA) is crucial in guiding treatment strategy, not least in the light of growing evidence supporting the use of antibiotics alone in the treatment of uncomplicated AA [4].