Background: Adhesive intestinal obstruction is a pressing problem in pediatric surgery. Early diagnosis and treatment options for both early and late forms remain controversial.

Objective: To early clarify the proposed diagnosis of adhesive intestinal obstruction in children previously operated on for acute appendicitis.

Materials and Methods: From 2020 to 2024, 76 of 382 children at the 2-2 City Children's Surgical Clinical Hospital (2-2DCCH) underwent surgery for acute appendicitis. Adhesive disease was recorded (33 early, 43 late). The patients ranged in age from 2 to 18 years with signs of abdominal adhesive disease. Of these, 44 were boys (57.8%) and 32 were girls (42.2%).

Results: The diagnosis was based on the patient's medical history, clinical examination, abdominal ultrasound, laparoscopy, and laparotomy.

Intestinal obstruction, adhesions, laparotomy

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