NEONATAL APPENDICITIS WITH NECROTIZING ENTEROCOLITIS

Authors

  • Yumna Aslam
  • Hania Hasan
  • Adnan Mirza
  • Amin Ali
  • Muhammad S. Salat
  • Mohammad Aadil Qamar Ziauddin University

DOI:

https://doi.org/10.55519/JAMC-03-9835

Keywords:

Neonatal appendicitis, Necrotizing enterocolitis, neonate, perforation, infant, abdominal X-ray

Abstract

Acute appendicitis is an infrequent condition in neonates, especially in term infants. With around 100 cases in the last century and no specific diagnostic tool, this case report is an addition to the existing literature that helps in our understanding of the disease. A preterm infant who had greenish aspirates and dilated bowel loops on abdominal x ray and was treated on the lines of necrotizing enterocolitis failed to improve. Baby had issues of abdominal distension whenever feeds were started hence exploratory laparotomy was done on the 45th day of life which showed appendicitis with adherent terminal ileum, caecum, and appendix. Two months after the surgery, the patient was unable to respond to antibiotic therapy for septic condition leading to death.

References

Sabrina JD, Tan CW, Nallusamy M. Neonatal Perforated Appendicitis. J Pediatr Surg Case Rep 2018;38:66–8.

Deguchi E, Iwai N, Yanagihara J, Nakamura K, Doi Y. Neonatal appendicitis with perforation in a premature infant. Pediatr Surg Int 1990;5(5):366–8.

Karaman A, Çavuşoğlu YH, Karaman I, Çakmak O. Seven cases of neonatal appendicitis with a review of the English language literature of the last century. Pediatr Surg Int 2004;19(11):707–9.

Wilkinson RH, Bartlett RH, Eraklis AJ. Diagnosis of appendicitis in infancy. The value of abdominal radiographs. Am J Dis Child 1969;118(5):687–90.

Ginglen JG, Butki N. Necrotizing Enterocolitis. Newborn Surgery, Fourth Edition [Internet]. 2021 Aug 13 [cited 2021 Sep 26] Available from: https://www.ncbi.nlm.nih.gov/books/NBK513357/

Published

2022-06-21

Issue

Vol. 34 No. 3 (2022): JOURNAL OF AYUB MEDCIAL COLLEGE ABBOTTABAD

Section

CASE REPORT

License

Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License  CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.

USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.

AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.