Appendicitis with perforartion in a neonate.
Appendicitis is a very rare clinical entity in neonates. Preterm and male neonates are commonly affected. It is often seen in association with surgical conditions like Hirschsprung's disease and necrotizing enterocolitis. Non-specific clinical features result in delay in the diagnosis and predisposes to perforation. The risk of perforation is very high (85%) in neonatal appendicitis. Management includes pre-operative stabilization, appendicectomy and peritoneal drainage in cases of perforation with peritonitis. Prognosis is uniformly poor with mortality rate as high as 70%. Herewith reporting a neonate with multiple perforations who was successfully managed.
Karunakara
B P
BP
Departments of Pediatrics, M.S. Ramaiah Medical Teaching Hospital, Bangalore, Karnataka, India.
Ananda Babu
M N
MN
Maiya
P P
PP
Rijwani
Ashok
A
Sunil
Indira
I
D001062:Appendectomy; D001064:Appendicitis / Q000150:complications / Q000601:surgery*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D010538:Peritonitis / Q000150:complications*; D018805:Sepsis / Q000150:complications; D016896:Treatment Outcome