32. Case report: Appendiceal peritonitis due to perforated acute appendicitis in a neonate
Main Article Content
Abstract
Neonatal appendicitis is an extraordinarily rare disease with an incidence rate between 0.04% - 0.2%. It tends to occur in premature infants, with increased perforation rate and rapid progression to peritonitis. This disease is often diagnosed late and has a high mortality rate of 23% due lack of specific signs and low index of suspicion. Almost all cases were found during surgery suspected as other diagnoses. We report the first case of perforated acute appendicitis in an 8-day-old preterm baby born at 33 weeks of gestation at the National Children's Hospital.
Article Details
Keywords
Necrotizing enterocolitis, neonatal appendicitis, neonate
References
1. Khan RA, Menon P, Rao KLN. Beware of neonatal appendicitis. J Indian Assoc Pediatr Surg. 2010; 15(2): 67-69. doi:10.4103/0971-9261.70646.
2. Raveenthiran V. Neonatal Appendicitis (Part 1): A Review of 52 cases with Abdominal Manifestation. J Neonatal Surg. 2015; 4(1):4.
3. Martin LW, Perrin EV. Neonatal perforation of the appendix in association with Hirschsprung’s disease. Ann Surg. 1967; 166(5): 799-802. doi:10.1097/00000658-196711000-00010.
4. Karaman A, Cavuşoğlu YH, Karaman I, Cakmak O. Seven cases of neonatal appendicitis with a review of the English language literature of the last century. Pediatr Surg Int. 2003; 19(11): 707-709. doi:10.1007/s00383-003-1030-5.
5. Bax NM, Pearse RG, Dommering N, Molenaar JC. Perforation of the appendix in the neonatal period. J Pediatr Surg. 1980; 15(2): 200-202. doi:10.1016/s0022-3468(80)80020-0.
6. Ho HT. Neonatal appendicitis: An experience with 2 cases at Hue Central Hospital. jcmhch. 2021; (69). doi:10.38103/jcmhch.2021.69.5.
7. Nguyen TX, Dang NT, Phan HT, Pham NH, Vu HA. Perforated Acute Appendicitis in a Six-Day-Old Neonate: A Rare Differential Diagnosis of Neonatal Peritonitis. Case Rep Gastroenterol. 2021; 15(1): 188-194. doi:10.1159/000512425.
8. The sonographic features of neonatal appendicitis: A case report - PubMed. Accessed June 19, 2022. https://pubmed.ncbi.nlm.nih.gov/29137008/.
9. Naito T, Teramen H, Hayashi H, et al. Colon stenosis due to acute neonatal appendicitis in a preterm baby: a case report. BMC Pediatr. 2019; 19(1): 492. doi:10.1186/s12887-019-1873-0.
10. Jan IA, Hariz SB, Zidgali FA, Saqi ZL, Lutf GH. Acute appendicitis causing small intestinal band obstruction in a premature baby: A case report. Journal of Neonatal Surgery. 2020; 9: 12-12. doi:10.47338/jns.v9.533
11. Schwartz KL, Gilad E, Sigalet D, Yu W, Wong AL. Neonatal acute appendicitis: a proposed algorithm for timely diagnosis. Journal of Pediatric Surgery. 2011; 46(11): 2060-2064. doi:10.1016/j.jpedsurg.2011.07.018.
12. Mollitt DL, Tepas JJ, Talbert JL. The microbiology of neonatal peritonitis. Arch Surg. 1988; 123(2): 176-179. doi:10.1001/archsurg.1988.01400260056006.
2. Raveenthiran V. Neonatal Appendicitis (Part 1): A Review of 52 cases with Abdominal Manifestation. J Neonatal Surg. 2015; 4(1):4.
3. Martin LW, Perrin EV. Neonatal perforation of the appendix in association with Hirschsprung’s disease. Ann Surg. 1967; 166(5): 799-802. doi:10.1097/00000658-196711000-00010.
4. Karaman A, Cavuşoğlu YH, Karaman I, Cakmak O. Seven cases of neonatal appendicitis with a review of the English language literature of the last century. Pediatr Surg Int. 2003; 19(11): 707-709. doi:10.1007/s00383-003-1030-5.
5. Bax NM, Pearse RG, Dommering N, Molenaar JC. Perforation of the appendix in the neonatal period. J Pediatr Surg. 1980; 15(2): 200-202. doi:10.1016/s0022-3468(80)80020-0.
6. Ho HT. Neonatal appendicitis: An experience with 2 cases at Hue Central Hospital. jcmhch. 2021; (69). doi:10.38103/jcmhch.2021.69.5.
7. Nguyen TX, Dang NT, Phan HT, Pham NH, Vu HA. Perforated Acute Appendicitis in a Six-Day-Old Neonate: A Rare Differential Diagnosis of Neonatal Peritonitis. Case Rep Gastroenterol. 2021; 15(1): 188-194. doi:10.1159/000512425.
8. The sonographic features of neonatal appendicitis: A case report - PubMed. Accessed June 19, 2022. https://pubmed.ncbi.nlm.nih.gov/29137008/.
9. Naito T, Teramen H, Hayashi H, et al. Colon stenosis due to acute neonatal appendicitis in a preterm baby: a case report. BMC Pediatr. 2019; 19(1): 492. doi:10.1186/s12887-019-1873-0.
10. Jan IA, Hariz SB, Zidgali FA, Saqi ZL, Lutf GH. Acute appendicitis causing small intestinal band obstruction in a premature baby: A case report. Journal of Neonatal Surgery. 2020; 9: 12-12. doi:10.47338/jns.v9.533
11. Schwartz KL, Gilad E, Sigalet D, Yu W, Wong AL. Neonatal acute appendicitis: a proposed algorithm for timely diagnosis. Journal of Pediatric Surgery. 2011; 46(11): 2060-2064. doi:10.1016/j.jpedsurg.2011.07.018.
12. Mollitt DL, Tepas JJ, Talbert JL. The microbiology of neonatal peritonitis. Arch Surg. 1988; 123(2): 176-179. doi:10.1001/archsurg.1988.01400260056006.