Abstract
INTRODUCTION AND IMPORTANCE: Chronic appendicitis in pediatric patients is rare and challenging to diagnose, typically leading to surgical resection. However, Endoscopic Retrograde Appendicitis Therapy (ERAT) offers a minimally invasive alternative that preserves the appendix, maintaining its immune and digestive functions. CASE PRESENTATION: A 13-year-old boy with a year-long history of worsening abdominal pain underwent ERAT. The procedure provided symptom relief and preserved the appendix. CLINICAL DISCUSSION: ERAT successfully treated the appendicitis while preserving the appendix, which plays crucial immune and digestive roles, especially in children. CONCLUSION: ERAT is a promising, non-surgical alternative for chronic appendicitis in pediatric patients, warranting further study.