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Abstract Acute appendicitis remains the most common presenting surgical emergency; the clinical diagnosis of acute appendicitis remains difficult in children. Since the introduction of endoscopic surgery to appendectomy in the early 1980s, laparoscopic appendectomy has been performed widely in adults and children. The procedure offers reduced postoperative pain, earlier recovery, shortened length of stay, and decreased intra-abdominal scarring. An appendix which appears macroscopically normal is found in 10%-20% of laparoscopic explorations for suspected appendicitis. The appropriate surgical strategy for these cases is a matter of debate. In our study, we tried to correlate between the gross features of normally looking appendix (lily white appendix) during laparoscopy and the histopathological findings of the excised appendix in children with suspected appendicitis to reach a conclusion about normally looking appendix in children ,should it be removed during laparoscopy when no other explanatory pathology is found or not. |