Bogle R, McIntyre R, Patel N, et al. - As acute appendicitis is identified to be the most common surgical emergency in childhood with perforation of the appendix conveying a worse outcome, researchers aimed at conducting a case–control study examining the relationship between deprivation and appendiceal perforation in children in the West of Scotland. Over a 2-year study period, appendicectomy was performed on 304 patients (62% male; mean age: 10.4 years). Mean time from symptom onset to presentation was 2.3 days (SD ±2.5). Perforation rate of 44.41% was reported. Perforation was observed in association with lower age, increased time to presentation and Scottish Index of Multiple Deprivation tertile. Observations revealed an independent correlation of worsening deprivation with perforation, but a delay in presentation seemed not mediating this relationship.