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[Neonatal appendicitis. Presentation of three cases (author's transl)]
Anales Espanoles De Pediatria
|April 1, 1981
Summary
Neonatal acute appendicitis is rare, posing diagnostic challenges and increasing mortality risk. Early surgical intervention is crucial for favorable outcomes in infants.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Neonatal Medicine
Background:
- Neonatal acute appendicitis is an uncommon surgical emergency.
- Literature review reveals limited documented cases prior to 1975.
Observation:
- Presents three cases of acute appendicitis in neonates within the first month of life.
- Clinical and radiological diagnosis is often difficult, leading to treatment delays.
Findings:
- All three neonates underwent surgical intervention via laparotomy.
- One patient was operated on through right herniography.
- No cases of intestinal aganglionosis were observed in the presented patients.
Implications:
- Highlights the diagnostic challenges and high mortality associated with neonatal appendicitis.
- Emphasizes the need for prompt diagnosis and surgical management.
- Suggests that appendicitis can occur independently of intestinal aganglionosis in neonates.
Related Concept Videos
01:22Appendicitis-I: Introduction
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
01:29Appendicitis-II: Diagnostic Studies and Management
Diagnosing and managing appendicitis requires a structured and comprehensive approach that spans from initial assessment to postoperative care. Here is an overview of the process:
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
01:19Appendicitis
Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...