Аннотация: The analysis of the clinic and the data of ultrasound appendicular appendix in 102 patients aged 1-17 years old, the median age of patients was 9 years 3 months (interquartile interval 1 year 7 months - 16 years 8 months) with the disease duration 4-12 hours at the time of hospitalization, for 2016 - 2017 gg. Parenterally, the myotropic spasmolytic drotaverin was administered at the age-related dosage. After 1.5-2 hours after its administration, abdominal pain syndrome was stopped in 64 patients and confirmed by visualizing ultrasound scores. In 14 patients, diagnostic laparoscopy was performed, in 24 patients - appendectomy. According to the US Surgeons Protocol (2013), of the 24 operated patients, only in 2 patients, with coprolite and a fragment of the pine nut shell in the lumen of the appendicular process, appendectomy was shown, and in 22 patients the operations were considered unfounded.