Abstract
.Background:Acute appendicitis in a newborn is rare and may be fatal. The reported incidence is 0,04 % to 0,2 %. Diagnosis remains challenging as the symptoms are undefined.Case presentation:Here we present a full-term newborn boy of 9 days presenting with malaise, reluctance to feed and subfebrile fever. Over the course of 6 days his condition became worse. The newborn was febrile, passed no stool and his stomach became distended. Perforation due to necrotizing enterocolitis was highly suspected. The diagnosis of acute appendicitis was finalized perioperatively after the perforation and worsening condition made the emergency surgery inevitable. After 16 days of admission the patient was discharged in good condition.Conclusion:Appendicitis in neonates is a dangerous yet manageable condition. While rare it should be included in differential diagnosis when presented with atypical necrotizing enterocolitis or unexplained peritonitis. Quick and accurate diagnosis may increase survival rates.
Highlights
Appendicitis in neonates is a dangerous yet manageable condition. While rare it should be included in differential diagnosis when presented with atypical necrotizing enterocolitis or unexplained peritonitis
We present a case of a 9-day-old boy who was diagnosed with perforated appendicitis with localized peritonitis and had a successful operation and discharged in good health
Neonatal appendicitis could be a local form of necrotizing enterocolitis (NEC) which was suspected in the presented case, and difficult to distinguish even after the operation [1,4]
Summary
Appendicitis in neonates is a dangerous yet manageable condition. While rare it should be included in differential diagnosis when presented with atypical necrotizing enterocolitis or unexplained peritonitis. Ūminis naujagimių apendicitas yra reta ir pavojinga būklė. Diagnostika sudėtinga, nes naujagimiams būdingi nespecifiniai ir neryškūs simptomai. Išnešiotas 9 parų naujagimis atvežtas dėl vangumo, sumažėjusio apetito ir subfebrilaus karščiavimo. Šeštą hospitalizacijos parą įtariant nekrozinį enterokolitą ir galimą perforaciją atlikta skubi laparotomija ir diagnozuotas gangreninis apendicitas su perforacija ir lokaliu peritonitu. Naujagimis po 16 parų hospitalizacijos išrašytas į namus geros būklės. Apendicitas yra pavojinga liga naujagimystėje, ji turėtų būti diferencijuojama, kai naujagimiui pasireiškia atipinio nekrozinio enterokolito ar lokalaus peritonito požymiai. Greita ir tiksli diagnostika lemia geresnę baigtį.
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