title: Appendicitis with perforartion in a neonate.
abstract: 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.
authors.affiliation: Departments of Pediatrics, M.S. Ramaiah Medical Teaching Hospital, Bangalore, Karnataka, India.
authors.forename: B P
authors.initials: BP
authors.lastname: Karunakara
authors.forename: M N
authors.initials: MN
authors.lastname: Ananda Babu
authors.forename: P P
authors.initials: PP
authors.lastname: Maiya
authors.forename: Ashok
authors.initials: A
authors.lastname: Rijwani
authors.forename: Indira
authors.initials: I
authors.lastname: Sunil
mesh_terms: 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