Abstract
Appendicitis is a very rare clinical entity in neonates. Preterm and male neonates are commonly affected. It is often seen in association with surgical conditions like Hirschsprung’s disease and necrotizing enterocolitis. Non-specific clinical features result in delay in the diagnosis and predisposes to perforation. The risk of perforation is very high (85%) in neonatal appendicitis. Management includes pre-operative stabilization, appendicectomy and peritoneal drainage in cases of perforation with peritonitis. Prognosis is uniformly poor with mortality rate as high as 70%. Herewith reporting a neonate with multiple perforations who was successfully managed
References
Swamy PM, Pejaver RK, Babu A, Maiya PP, Rizwani A. Appendicular perforation in necrotising enterocolitis.Indian Pediatr 1998; 35:59–61.
Yadav K, Narang A, Rao KLN, Kumar S. Neonatal appendicular perforation.Indian Pediatr 1983; 20:373–375.
Rao NK, Mitra SK, Pathak IC. Antenatal appendicular perforations.Postgrad Med J 1987; 63:1001–1003.
Kottmeier PK. Appendicitis. In Welch JK, Randolph GJ, Ravith MM, O’Neil JA, Rowe MI, eds.Text Book of Pediatric Surgery. 4 edn. Year book Medical Publishers Inc, 1986; 989–995.
Tabrisky J, Westerfeld R, Charles ST, Cavanangh J. Appendicitis in the Newborn.Am J Dis Child 1966; 111: 557–558.
Martin LW, Perrin EV Neonatal perforation of the appendix in association with Hirschsprung’s disease.Ann Surg 1963; 166: 799–802.
Shaul W, Wash S. Clues to the early diagnosis of neonatal appendicitis.J Paediatr 1981; 98: 473–476.
Bar JA, Moar A, Zeltzer M. Acute appendicitis located in a scrotal hernia of a premature infant.J Pediatr Surg 1978; 13: 181–182.
Golladay ES, Roskes S, Donner L, Alex J. Intestinal obstruction from appendiceal abscess.J Pediatr Surg 1980; 15: 200–202
Parsons JM, Miscall BG, McSherry CK. Appendicitis in the newborn infant.Surgery 1970; 67 (5): 841–843.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Karunakara, B.P., Ananda Babu, M.N., Maiya, P.P. et al. Appendicitis with perforartion in a neonate. Indian J Pediatr 71, 355–356 (2004). https://doi.org/10.1007/BF02724107
Issue Date:
DOI: https://doi.org/10.1007/BF02724107