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Background: In the future, surgical management of pediatric appendicitis might become limited to nonperforating appendicitis. Thus, it becomes increasingly important to differentiate advanced from simple appendicitis and to predict perforated appendicitis among a group of children with right-sided abdominal pain, which was the aim of this study.

Methods: An institutionally approved, single-center retrospective analysis of all patients with appendectomy from January 2009 to December 2010 was conducted.

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