Abstract
Background: Bilious vomiting is a common symptom of neonatal intestinal obstruction. The etiology is mostly related to congenital anomalies and other conditions causing intestinal obstruction. Case Presentation: We report a case of a seven days male premature baby (35 Weeks) that presented with features of intestinal obstruction including bilious vomiting and abdominal distention. X-ray abdomen showed features of complete small bowel obstruction. On laparotomy, the baby had acute appendicitis causing multiple adhesions, and an adhesion band was responsible for intestinal obstruction. Adhesions were divided, and appendectomy performed. Postoperatively the baby had an uneventful recovery and was discharged in a stable condition. Conclusion: Neonatal appendicitis causing intestinal obstruction is a rare phenomenon and should be considered in the differential diagnosis of babies presenting with bilious vomiting.
Highlights
Neonatal appendicitis (NA) an extremely rare condition and true incidence is not known
Neonatal appendicitis causing intestinal obstruction is a rare phenomenon and should be considered in the differential diagnosis of babies presenting with bilious vomiting
It is more frequent in premature babies and due to the lack of specific signs and low index of suspicion, the diagnosis of acute appendicitis in neonates is often delayed with a higher mortality rate.[1]
Summary
Neonatal appendicitis (NA) an extremely rare condition and true incidence is not known It is more frequent in premature babies and due to the lack of specific signs and low index of suspicion, the diagnosis of acute appendicitis in neonates is often delayed with a higher mortality rate.[1] Bilious vomiting in neonates is a sign of intestinal obstruction caused by a variety of conditions including intestinal atresia, malrotation, volvulus, meconium ileus, meconium plug syndrome, and necrotizing enterocolitis.[2,3] Only a few reports of NA associated with intestinal obstruction among preterm babies and neonates have been reported. The common features of neonatal appendicitis are abdominal distension and signs of sepsis.[4] Neonatal appendicitis causing adhesive band obstruction is a rare phenomenon, and diagnosis can be delayed with serious consequences, including sepsis, bowel ischemia and gangrene.[5]. The baby had an uneventful recovery and was discharged in a stable condition
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