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[Acute perforated appendicitis in newborns].

M Messina1, S Schiavone, D Meucci

  • 1Università degli Studi di Siena, Cattedra di Chirurgia Pediatrica, Italia.

La Pediatria Medica E Chirurgica : Medical and Surgical Pediatrics
|September 1, 1991
PubMed
Summary
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Perforated neonatal appendicitis is rare but deadly. Prompt surgical intervention for acute abdomen is crucial in newborns, even without a definitive diagnosis.

Area of Science:

  • Neonatal surgery
  • Pediatric surgery
  • Gastrointestinal disease

Background:

  • Neonatal appendicitis is a rare condition.
  • Perforation and mortality rates are high in neonates.
  • Diagnosis is challenging due to non-specific signs.

Observation:

  • The authors present a case of perforated acute neonatal appendicitis.
  • Literature review on rarity, perforation causes, and mortality factors.
  • Discussion of diagnostic difficulties in newborns.

Findings:

  • Clinical and laboratory signs in neonates are not specific for appendicitis.
  • Factors contributing to the rarity of the condition and frequency of perforation identified.
  • High mortality associated with delayed diagnosis and perforation.

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Implications:

  • Acute abdomen in neonates warrants surgical exploration, regardless of pre-operative diagnosis.
  • Early surgical intervention can improve outcomes for neonatal appendicitis.
  • Further research needed to improve diagnostic accuracy in neonates.