Appendicitis and Appendectomy in Children

A child complaining of stomach pain is not unusual, but when the pain gets worse, especially around the lower right side of the abdomen, it could be appendicitis. At King’s College Hospital London in Dubai, our pediatric surgeons diagnose and treat appendicitis in children, including cases that require emergency surgery.

Our team has experience performing pediatric appendectomies, often using minimally invasive (keyhole) surgery. We understand that an unexpected operation can be frightening for both children and parents, so we explain what is happening, why surgery may be needed, and what to expect during recovery.

What Is Appendicitis in Children?

Appendicitis is inflammation of the appendix, a small pouch attached to the large intestine in the lower right side of the abdomen. It usually happens when the opening of the appendix becomes blocked, allowing bacteria to multiply and causing swelling and infection.

Appendicitis can develop at any age, although it is more common in school-age children and teenagers. Younger children may have less typical symptoms, making the condition harder to recognize.

Without treatment, the appendix can rupture, allowing infection to spread inside the abdomen. This is why suspected appendicitis needs urgent medical assessment.

What Are the Symptoms of Appendicitis in Children?

The most common symptom is abdominal pain that becomes progressively worse. It may begin around the belly button before moving to the lower right side of the abdomen.

Other symptoms can include:

• Loss of appetite
• Nausea or vomiting
• Fever
• Pain when walking, coughing, or moving
• Abdominal swelling or tenderness
• Diarrhea or constipation in some children

Not every child experiences the same symptoms. Younger children may struggle to explain where the pain is, and some may become unusually quiet, irritable, or reluctant to move.

If your child has severe or worsening abdominal pain, particularly with fever or vomiting, seek emergency medical attention. Do not wait for a routine appointment.

How Is Appendicitis Diagnosed in Children?

A pediatric surgeon or emergency doctor will examine your child and ask about their symptoms, including when the pain started and whether it has changed.

Diagnosis may involve:

1. Physical examination: Checking for tenderness, particularly in the lower right abdomen.
2. Blood tests: Looking for signs of inflammation or infection.
3. Urine tests: Helping rule out urinary tract problems that can cause similar symptoms.
4. Ultrasound: Often the first imaging test used to examine the appendix in children.
5. Additional imaging: An MRI or CT scan may be recommended if the diagnosis remains uncertain.

Your child’s doctor will decide which tests are necessary based on their symptoms and examination findings.

How Is Appendicitis Treated in Children?

Treatment depends on whether the appendix is inflamed, perforated (ruptured), or associated with an abscess.

For many children, an appendectomy, which is surgery to remove the appendix, is the recommended treatment. Antibiotics and intravenous fluids are also commonly given.

In selected cases of uncomplicated appendicitis, treatment with antibiotics alone may be considered after discussion with the surgical team. However, some children treated without surgery will develop appendicitis again or eventually need an appendectomy.

If the appendix has ruptured, treatment may involve antibiotics, surgery, or drainage of an abscess, depending on the child’s condition.

What Happens During an Appendectomy in Children?

An appendectomy is performed under general anesthesia, so your child will be asleep throughout the operation.

At King’s College Hospital Dubai, our pediatric surgeons may perform a laparoscopic appendectomy, also called keyhole appendix surgery, when appropriate.

The procedure generally involves:

1. Making small incisions in the abdomen.
2. Inserting a camera and specialized surgical instruments.
3. Carefully separating and removing the inflamed appendix.
4. Checking the surrounding area for infection or other concerns.
5. Closing the incisions with sutures or other suitable materials.

In some cases, an open appendectomy may be necessary. Your child’s surgeon will explain which approach is recommended and why.

What Are the Benefits of Laparoscopic Appendectomy?

Laparoscopic appendectomy is commonly used to treat appendicitis in children. Because the surgeon operates through small incisions, it may offer several advantages compared with open surgery.

These include:

• Smaller scars
• Less pain after surgery
• Shorter hospital stays in suitable cases
• Earlier return to normal activities
• Better visibility of the abdominal cavity during surgery

Not every child is suitable for keyhole surgery, particularly if there are complications. The surgical approach depends on the child’s condition and the findings during the operation.

How Long Does Recovery Take After an Appendectomy?

Recovery depends on whether the appendix was removed before it ruptured and whether there were any complications.

Children who have an uncomplicated laparoscopic appendectomy may be able to return home within a day or two, sometimes sooner. Those with a ruptured appendix or significant infection may need a longer hospital stay and additional antibiotics.

Before discharge, the surgical team will explain how to care for the wounds, manage discomfort, and recognize possible complications.

Most children can gradually return to school and normal activities once they feel well enough, although sports and strenuous exercise may need to be avoided for a period recommended by the surgeon.

Contact your child’s medical team if they develop increasing abdominal pain, persistent fever, repeated vomiting, or redness or discharge around the surgical wounds.

Who Are the Best Pediatric Surgeons for Appendicitis in Dubai?

The best pediatric surgeons for appendicitis in Dubai are Dr. Basem A Khalil, Dr. Muhammad Eyad Ba’Ath, and Dr. Ayman Al Jundi at  King’s College Hospital Dubai.

Dr. Basem A Khalil trained in the UK and has spent much of his career treating children who need surgery, including newborn babies. Before joining King’s College Hospital Dubai, he was Head of Pediatric Surgery at Royal Manchester Children’s Hospital and later Director of Neonatal Surgery at Sidra Medicine in Qatar.

His experience includes general pediatric surgery, complex intestinal conditions, and neonatal procedures.

Dr. Muhammad Eyad Ba’Ath is a UK-trained pediatric surgeon with experience in general pediatric surgery and minimally invasive procedures.

He treats common childhood surgical conditions and performs laparoscopic procedures, including operations involving the abdomen.

Dr. Ayman Al Jundi has more than 40 years of experience in pediatric surgery and completed specialist training at Bristol Royal Hospital for Sick Children in the UK.

His practice includes general pediatric surgery, abdominal procedures, and treatment of congenital conditions in children.

Why Choose King’s College Hospital Dubai for Pediatric Appendectomy?

When appendicitis is suspected, prompt diagnosis and access to an experienced surgical team are important. At King’s College Hospital Dubai, children receive care from specialists who understand how appendicitis can present differently at different ages.

• Experienced pediatric surgeons: Our UK-trained surgeons have worked in specialist children’s hospitals and regularly treat abdominal conditions in babies and older children.
• Emergency care for appendicitis: Children with suspected appendicitis can be assessed promptly, with surgery arranged when needed.
• Keyhole appendix surgery: Our surgeons use laparoscopic techniques when suitable, allowing the appendix to be removed through small incisions.
• Pediatric anesthesia: Our anesthesiologists are experienced in caring for children and monitor them closely throughout surgery.
• PICU facilities: Children who become seriously unwell or develop complications can receive intensive care when required.
• Support for parents: We explain the test results, discuss why an operation is needed, and talk parents through their child’s recovery and care at home.

Our team works with parents throughout the process, from the initial assessment to preparing their child to return home.

How Can I Book an Appointment?

If your child has symptoms of appendicitis, seek emergency medical attention rather than waiting for a scheduled consultation.

For nonurgent pediatric surgery consultations or follow-up appointments at King’s College Hospital Dubai, call +971 800 7777, complete our online appointment form, or use the KingsHub App.