Neonatal acute apendicitis, case report

• Autores: Romero Rojas, Nery, Sánchez García, Luis
• Formato: artículo
• Fecha de Publicación: 2016
• Institución: Universidad Nacional Mayor de San Marcos
• Repositorio: Revistas - Universidad Nacional Mayor de San Marcos
• Lenguaje: español
• OAI Identifier: oai:ojs.csi.unmsm:article/12662
• Enlace del recurso: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/12662
• Nivel de acceso: acceso abierto
• Materia: Neonatal Appendicitis.; Apendicitis Neonatal.

Introduction. Acute appendicitis is a rare disease in newborns with a high mortality because of unspecific clinical features. We report a case of non-perforated acute appendicitis in a newborn at the San Bartolome Hospital in Lima. Case report. A female newborn weighing 3 170 g in the first day repelled maternal lactation; at the third day, she presented 39°C fever, and later, abdominal distention, constipation, and abundant vomiting. The X-ray films showed a distended gastric camera and paralytic ileum; other auxiliary exams were inconclusive. She was operated with the diagnosis of intestinal obstruction; we found the ceccal appendix with multiple lax adhesions to the ileum. The pathologic study showed an acute not perforated gangrenous appendicitis. Appendicitis must be considered in the differential diagnosis of a neonatal surgical emergency.