title: Fatal Acute Appendicitis in a Neonate With Congenital Heart Disease.
abstract: We describe a case of fatal acute appendicitis in a neonate associated with congenital cardiac disease requiring staged surgery. Neonatal appendicitis is extremely rare and usually associated with prematurity and congenital abdominal conditions. This report serves to highlight the risk of this disease due to vascular insufficiency and ischemia in neonates with congenital cardiac disease and highlight the importance of considering this diagnosis in such a neonate with unexplained sepsis even in the absence of clear abdominal signs.
authors.affiliation: Kids Heart Research, The Children's Hospital at Westmead, Sydney, Australia The Heart Centre for Children, The Children's Hospital at Westmead, Sydney, Australia The Sydney Children's Hospital Network Cardiac Service, Sydney, Australia.
authors.forename: Ben
authors.initials: B
authors.lastname: Dunne
authors.affiliation: Sydney Medical School, University of Sydney, Sydney, Australia.
authors.forename: Kilian G M
authors.initials: KG
authors.lastname: Brown
authors.affiliation: Kids Heart Research, The Children's Hospital at Westmead, Sydney, Australia The Heart Centre for Children, The Children's Hospital at Westmead, Sydney, Australia The Sydney Children's Hospital Network Cardiac Service, Sydney, Australia Sydney Medical School, University of Sydney, Sydney, Australia david.winlaw@health.nsw.gov.au gary.sholler@health.nsw.gov.au.
authors.forename: Gary
authors.initials: G
authors.lastname: Sholler
authors.affiliation: Sydney Medical School, University of Sydney, Sydney, Australia Grace Centre for Newborn Care, The Children's Hospital at Westmead, Sydney, Australia.
authors.forename: Amit
authors.initials: A
authors.lastname: Trivedi
authors.affiliation: Sydney Medical School, University of Sydney, Sydney, Australia The Department of Urology, The Children's Hospital at Westmead, Sydney, Australia.
authors.forename: Grahame
authors.initials: G
authors.lastname: Smith
authors.affiliation: Kids Heart Research, The Children's Hospital at Westmead, Sydney, Australia The Heart Centre for Children, The Children's Hospital at Westmead, Sydney, Australia The Sydney Children's Hospital Network Cardiac Service, Sydney, Australia Sydney Medical School, University of Sydney, Sydney, Australia david.winlaw@health.nsw.gov.au gary.sholler@health.nsw.gov.au.
authors.forename: David S
authors.initials: DS
authors.lastname: Winlaw
keywords: appendicitis; congenital heart disease