title: Perforated acute appendicitis in a pre-term neonate.
abstract: Acute appendicitis is a common occurrence in childhood, but this diagnosis is considered rarely in differential diagnosis of acute abdomen in the neonatal period because its occurrence is very rare in neonates. We report a 20-day- old afghan female baby that was admitted to neonatal intensive care unit, because of irritability and abdominal distension. Complete ultrasound of abdomen and pelvis was normal. In plain Radiographs of chest and abdomen with the exception of Air-filled stomach and intestine, there was no abnormality. Due to the lack of improvement and severe abdominal distension, she was transmitted to the operating room and Surgical exploration revealed perforated appendix. Appendicitis should be considered in the differential diagnosis for a neonate with abdominal distension and bilious vomiting and needs strong clinical suspicion.
authors.affiliation: Trauma Research Centre, Kashan University of Medical Sciences, Kashan, IR Iran.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Jahangiri
authors.affiliation: Trauma Research Centre, Kashan University of Medical Sciences, Kashan, IR Iran.
authors.forename: Mehrdad
authors.initials: M
authors.lastname: Hosseinpour
authors.affiliation: Trauma Research Centre, Kashan University of Medical Sciences, Kashan, IR Iran.
authors.forename: Hoda
authors.initials: H
authors.lastname: Jazayeri
authors.affiliation: Trauma Research Centre, Kashan University of Medical Sciences, Kashan, IR Iran.
authors.forename: Mahdi
authors.initials: M
authors.lastname: Mohammadzadeh
authors.affiliation: Trauma Research Centre, Kashan University of Medical Sciences, Kashan, IR Iran.
authors.forename: Davood
authors.initials: D
authors.lastname: Motaharizad
authors.affiliation: Trauma Research Centre, Kashan University of Medical Sciences, Kashan, IR Iran.
authors.forename: Azadeh Sadat
authors.initials: AS
authors.lastname: Mirzadeh
keywords: Appendicitis; Infant, Newborn; Peritonitis