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Perforated acute appendicitis in a pre-term neonate
Mohammad Jahangiri1, Mehrdad Hosseinpour1, Hoda Jazayeri1
1Trauma Research Centre, Kashan University of Medical Sciences, Kashan, IR Iran.
Iranian Red Crescent Medical Journal
|December 19, 2013
Summary
Neonatal appendicitis is rare but critical. This case highlights the importance of considering appendicitis in neonates with abdominal distension, even with normal initial imaging, to prevent perforation.
Area of Science:
- Pediatric Surgery
- Neonatal Medicine
- Gastroenterology
Background:
- Acute appendicitis is common in children but seldom considered in neonates.
- Neonatal appendicitis is exceptionally rare, posing diagnostic challenges.
Purpose of the Study:
- To report a rare case of neonatal appendicitis.
- To emphasize the need for clinical suspicion in neonates presenting with abdominal distension.
Main Methods:
- Case report of a 20-day-old infant with irritability and abdominal distension.
- Diagnostic workup included abdominal ultrasound and plain radiographs.
- Surgical exploration was performed due to lack of improvement.
Main Results:
- Initial ultrasound and radiographs were normal.
- Surgical exploration revealed a perforated appendix.
- The neonate presented with severe abdominal distension and irritability.
Conclusions:
- Appendicitis should be included in the differential diagnosis for neonates with abdominal distension and bilious vomiting.
- Strong clinical suspicion is crucial for early diagnosis and management of neonatal appendicitis.
- Delayed diagnosis can lead to severe complications like perforation.
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