Neonatal Perforated Appendicitis
نویسندگان
چکیده
منابع مشابه
Neonatal Perforated Appendicitis
Appendicitis is the most common cause of acute surgical abdomen in children and adults but very rare in infants and neonates. Nonspecific clinical features and low index of suspicion make its diagnosis and management challenging which may result in high chances of complications like perforation and peritonitis thus increasing the morbidity and mortality. Appendicular perforation leading to peri...
متن کاملPerforated Neonatal Appendicitis with Pneumoperitoneum
Acute appendicitis is a rare condition in neonates, with a high mortality. If perforated, it seldom presents with radiologically significant pneumoperitoneum. An 11-day-old newborn presented with abdominal distension and reluctance to feeds. X-ray abdomen revealed significant pneumoperitoneum. After optimization of his condition, exploratory laparotomy was performed. Perforated appendix was fou...
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A preterm neonate underwent emergent laparotomy for presumed necrotizing enterocolitis (NEC). Intra-operatively, neonatal perforated appendicitis (NPA) was encountered. This may represent a form of NEC localized to the appendix. A high index of clinical suspicion and early laparotomy are recommended.
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Of 156 patients with acute appendicitis, seen during 24 months, 21 had perforated. Age over 30 years especially in males, duration of symptoms over 48 hours, pulse rate on admission exceeding 100/ minute, generalised abdominal tenderness, leucocyte count in excess of 10,000 mm3 and a neutrophilia in excess of 70 percent, characterized patients with appendicular perforation. The rate of complica...
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Ingested foreign bodies tend to pass through the gastrointestinal tract without incidence, and vast majority of cases do not need intervention. Rarely, these foreign bodies drop into the appendix and not likely to re-enter the normal digestive tract. We describe a case of a 72-year-old male patient who presented with right iliac fossa pain of 3-day duration. Clinical examination suggested class...
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ژورنال
عنوان ژورنال: Journal of Pediatric Surgery Case Reports
سال: 2018
ISSN: 2213-5766
DOI: 10.1016/j.epsc.2018.08.014