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Neonatal perforated appendicitis. Case report.

Diego Herrera Ojeda¹, Esperanza Vidales-Nieto¹, Antonio Medina Vega¹

¹Department of Pediatric Surgery, National Institute of Pediatrics, Av. Insurgentes Sur No. 3700-C, 04530 Mexico City, Mexico.

International Journal of Surgery Case Reports

|December 19, 2024

Summary

Neonatal appendicitis is a rare condition often diagnosed late due to nonspecific symptoms. Early diagnosis and intervention are crucial for better outcomes in affected infants.

Keywords:

Case report Neonatal appendicitis Pediatric

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Area of Science:

Pediatric Surgery
Neonatal Medicine

Background:

Neonatal appendicitis is an uncommon surgical emergency.
It presents with nonspecific symptoms, often mimicking other abdominal pathologies like enterocolitis or malrotation.
Late diagnosis contributes to high rates of morbidity and mortality.

Observation:

A neonate presented with abdominal distention and gastric emesis.
Antenatal ultrasound suggested a congenital abdominal mass.
The neonate was diagnosed with perforated appendicitis leading to an abscess.

Findings:

The case involved a neonate diagnosed with neonatal appendicitis.
Surgical intervention included intestinal resection and anastomosis.
The diagnosis was challenging due to the rarity and nonspecific presentation.

Implications:

Highlights the importance of considering neonatal appendicitis in differential diagnoses.
Emphasizes the role of advanced imaging in diagnosing rare neonatal surgical conditions.
Underscores the need for prompt surgical management to improve patient outcomes.