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Acute Appendicitis in Infants - A Report of Two Cases
Kanimozhi C Vendhan1, Anis Akhtarkhavari2, Gopinathan Kathirvelu1
1Department of Radiology, Kanchi Kamakoti Childs Turst Hospital, Chennai, Tamil Nadu, India.
Insights
Diagnosing appendicitis in infants is difficult due to vague symptoms. Early imaging is crucial for prompt diagnosis and to prevent complications like perforation in young children.
Area of Science:
- Pediatric Surgery
- Neonatal Medicine
- Diagnostic Imaging
Background:
- Acute appendicitis is a common surgical emergency in children, but rare in infants.
- Diagnosis in neonates and infants is challenging due to atypical presentations and nonspecific symptoms.
- High clinical suspicion is essential for timely diagnosis of infantile appendicitis.
Observation:
- This study reports two cases of perforated appendicitis in infants younger than six months.
- Infantile appendicitis presents unique diagnostic challenges compared to older children.
- Delayed diagnosis in this age group correlates with increased perforation rates and morbidity.
Findings:
- Imaging modalities are vital for the prompt diagnosis of appendicitis and its complications in infants.
- Early and accurate diagnosis can significantly reduce the risk of perforation and associated complications.
- The two reported cases highlight the critical need for vigilance and advanced imaging in suspected infantile appendicitis.
Implications:
- Emphasizes the importance of advanced imaging in diagnosing appendicitis in neonates and infants.
- Highlights the need for increased clinical awareness and suspicion for appendicitis in very young children.
- Suggests that timely diagnosis and intervention can improve outcomes and reduce morbidity in infantile appendicitis.
Abstract:
Acute appendicitis is the most common surgical emergency in children. However, it is uncommon in neonates and infants. Often it can be challenging to diagnose acute appendicitis in children due to atypical clinical presentation and nonspecific symptoms. This is particularly true in neonates and infants. A high level of clinical suspicion is needed to diagnose infantile appendicitis. Delayed diagnosis is associated with higher perforation rates and increased disease-related morbidity. Imaging plays a key role in the prompt diagnosis of acute appendicitis and its complications. We report two cases of perforated appendicitis in babies <6 months old.
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