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12901 Surgery

A 79-year-old man has had abdominal pain for 4 days. An operation is performed, and a gangrenous appendix is removed. The stump is inverted. Why does acute appendicitis in elderly patients and in children have a worse prognosis?

AThe appendix is retrocecal.
BThe appendix is in the perineal position.
CThe appendix is in the pelvic position.
DThe omentum and peritoneal cavity appear to be less efficient in localizing the disease in these age groups. (Correct Answer)