title: Perforated neonatal appendicitis with pneumoperitoneum.
abstract: 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 found and appendicectomy done. Post operative course was stormy that lead to demise of the baby.
authors.affiliation: Department of Paediatric Surgery, National Institute of Child Health (N.I.C.H.), Rafiquee Shaheed Road, Karachi - 75510, Pakistan.
authors.forename: Yousuf Aziz
authors.initials: YA
authors.lastname: Khan
authors.forename: Kanwal
authors.initials: K
authors.lastname: Zia
authors.forename: Nasir Salim
authors.initials: NS
authors.lastname: Saddal
keywords: Mortality; Neonatal appendicitis; Pneumoperitoneum
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