J Korean Assoc Pediatr Surg.  1997 Dec;3(2):168-171. 10.13029/jkaps.1997.3.2.168.

Appendiceal Perforation in the Neonate

• Park D
• Chang S

• KMID: 2422256
• DOI: http://doi.org/10.13029/jkaps.1997.3.2.168

Abstract

Appendiceal perforation is uncommon in the neonate. Diess reported the firs case in 1908. Approximately HI additional cases have been reported since that time. However, with exclusion of neonatal appendicitis' associated with inguinal or umbilical hernias, n,ecrotizing enterocolitis, meconium plug, and Hirschsprung's disease, there are only 36 cases of primary neonatal appendicitis. We treated a 12 days old boy with perforation of the appendix. The infant was 3000 g at birth and had a normal spontaneous vaginal delivary at 35 weeks of gestation. The mother was 31-year-old and had premature rupture of membrane. After normal feeding for the first 5 days of life, the infant had emesis of undigested milk, decreased activity and jaundice. The baby was admitted to the Pediatrics. Progressive abdominal distension, fever, decreased activity, and vomitting developed over the next six days. Erect abdominal radiography showed pneumoperitoneum. At exploratory laparotomy, a 0.8 × 0.6 em sized perforation was noted at antime-senteric border of midportion of the appendix. Trasmural inflammation and the presence of ganglion cells were noticed on histology.

Keyword

Appendiceal perforation; Neonate

MeSH Terms

Adult
Appendicitis
Appendix
Enterocolitis
Fever
Ganglion Cysts
Hernia, Umbilical
Hirschsprung Disease
Humans
Infant
Infant, Newborn*
Inflammation
Jaundice
Laparotomy
Male
Meconium
Membranes
Milk
Mothers
Parturition
Pediatrics
Pneumoperitoneum
Pregnancy
Radiography, Abdominal
Rupture
Vomiting