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Related Experiment Videos

Perforated acute appendicitis in a term neonate.

Sanjeev Managoli1, Pushpa Chaturvedi, Krishna Y Vilhekar

  • 1Departments of Pediatrics, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, India.

Indian Journal of Pediatrics
|April 27, 2004
PubMed
Summary

Acute appendicitis is rare in neonates, often linked to other conditions. This case highlights a surviving newborn with isolated appendicitis and perforation, emphasizing early surgery and thorough examination for abdominal distention.

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Area of Science:

  • Neonatal surgery
  • Pediatric surgery
  • Gastroenterology

Background:

  • Acute appendicitis is an uncommon condition in term neonates.
  • It frequently presents as a complication of other serious neonatal conditions such as necrotizing enterocolitis and congenital anomalies.
  • Diagnosis can be challenging due to the rarity and non-specific symptoms in neonates.

Observation:

  • A case report of a surviving term male newborn with isolated acute appendicitis and perforation.
  • The neonate presented with acute abdominal distention.
  • No other congenital anomalies or complications were identified as the primary cause.

Findings:

  • The neonate survived following surgical intervention.
  • Isolated acute appendicitis with perforation can occur in neonates without predisposing factors.

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  • Early surgical intervention is crucial for favorable outcomes.

    • Implications:

    • A high index of suspicion for acute appendicitis is necessary in neonates with abdominal distention.
    • Early surgical exploration is vital for neonates with suspected appendicitis.
    • Thorough investigation for perforation is critical in neonatal acute abdominal conditions.