Complicated Acute Appendicitis during COVID-19 Pandemic: The Hidden Epidemic in Children

Retrospective study of 168 pediatric appendicitis cases reveals COVID-19 lockdown led to 48% complicated appendicitis rate versus historical controls, with children presenting 47 hours after symptom onset and requiring longer hospitalization. Delayed emergency department visits during pandemic confinement resulted in significantly higher rates of peritonitis and appendicular masses.