Letter

Acute appendicitis: Weighing up risks and benefits of investigations and treatments

BMJ 2006; 333 doi: 10.1136/bmj.333.7569.652-b (Published 21 September 2006)
Cite this as: BMJ 2006;333:652.3

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  1. Sanjay Purkayastha, clinical research fellow (s.purkayastha@imperial.ac.uk),
  2. Sudipta Purkayastha, visiting professor,
  3. Paraskeva Paraskevas, senior lecturer
  1. Department of Biosurgery and Surgical Technology, Imperial College, London W2 1NY
  2. Department of Biosurgery and Surgical Technology, Imperial College, London W2 1NY

    EDITOR—A few issues arise from Humes and Simpson's review of acute appendicitis.1 It is important to clinically assess the right groin and hip, particularly in paediatric patients as transient synovitis or irritable hip and septic arthritis are common2 and are differential diagnoses that must be considered for atypical presentations. Children are often referred with abdominal pain where the gait of the patient has not been assessed and a painful limp can often …

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