Appendicular perforation in a neonate: a case report
DOI:
https://doi.org/10.18203/2349-2902.isj20191913Keywords:
Appendicular perforation, Neonate, PeritonitisAbstract
Appendicitis and the consequent appendicular perforation are mostly rare in neonates. It is more common in premature babies though. Presentation therefore may mimic necrotizing enterocolitis although this is usually not so severe. We report a case of appendicular perforation in a term neonate who presented as peritonitis. Diagnosis was made after the exploration. Patient did well after surgery. Although rare, appendicular pathology should be entertained in any case of peritonitis even though the presentation is not the same as in older children due to various anatomical reasons. Primary treatment is surgery.
References
Khan RA, Memon P, Rao KLN. Beware of neonatal appendicitis. J Indian Association Paediatr Surg. 2010;15:67-9.
Mirza A. Perforated appendicitis presenting as small bowel obstruction in an infant. APSP J Case Rep. 2011;2:26.
Kyastha K. Neonatal perforated appendicitis. J Neonatal Surg. 2012;1(1):10.
Drapala B, Trognon A, Canarelli JP, Tamboura Tientcheu A, Bensattj L, Razarimanantsoa L, et al. Appendicite neonatal. Arch Pediatr. 2000;7:896-7.
El-Gohary MA, Jubouri SA. Neonatal appendicitis with perforation: A case report. J Ped Surg Case Reports. 2014;2(7):353-4.
Raveenthiran V. Neonatal Appendicitis (part 1): a review of 52 cases with abdominal manifestations. J Neonat Surg. 2015;4(1):4.
Mittal MK, Dayan PS, Macias CG, Bachur RG, Bennett J, Dudley NC, et al. Performance of ultrasound in the diagnosis of appendicitis in children in multicentre cohort. Acad Emerg Med. 2013;20(7):697-702.
Howell JM, Eddy OL, Lukens TW, Thiessen ME, Weingarts D, Decker WW. American college of emergency physicians clinical policy: Critical issues in the evaluation and management of emergency department patients with suspected appendicitis. Ann Emerg Med. 2010;55:71-116.
Ariasllorente RP, Frez-Diez P, Oviedc Gutierrez M, Suarez Rodriguez M, Costa-Romero M, Solis-Sanchez G, et al. Acute neonatal appendicitis: A diagnosis to consider in abdominal sepsis. J Neonatal Perinatal Med. 2014;7:241-6.
Karaman A, Cavusoglu YH, Karaman I, Cakmak O. Seven cases of neonatal appendicitis with a review of the English language literature of the last century. Pediatr Surg lnt. 2003;19:707-9.