Acute appendicitis causing small intestinal band obstruction in a premature baby: A case report
Keywords:Appendicitis, Neonate, Intestinal obstruction, Bilious vomiting
Background: Bilious vomiting is a common symptom of neonatal intestinal obstruction. The etiology is mostly related to congenital anomalies and other conditions causing intestinal obstruction.
Case Presentation: We report a case of a seven days male premature baby (35 Weeks) that presented with features of intestinal obstruction including bilious vomiting and abdominal distention. X-ray abdomen showed features of complete small bowel obstruction. On laparotomy, the baby had acute appendicitis causing multiple adhesions, and an adhesion band was responsible for intestinal obstruction. Adhesions were divided, and appendectomy performed. Postoperatively the baby had an uneventful recovery and was discharged in a stable condition.
Conclusion: Neonatal appendicitis causing intestinal obstruction is a rare phenomenon and should be considered in the differential diagnosis of babies presenting with bilious vomiting.
Burge DM. The management of bilious vomiting in the neonate. Early Hum Dev. 2016;102:41-5.
Williams H. Green for danger! Intestinal malrotation and volvulus. Arch Dis Child Educ Pract Ed. 2007; 92:ep87-91.
Singh V, Pathak M.Congenital neonatal intestinal obstruction: Retrospective analysis at tertiary care hospital. J Neonatal Surg. 2016; 5:49.
Stifle D, Stallmach T, Sachet P. Acute appendicitis in neonates: Complication or morgues suit generis? Pediatr Surg Int. 1998; 14:122–3.
Godbole P, Stringer MD. Bilious vomiting in the newborn: how often is it pathologic? J Pediatr Surg. 2002; 37:909–11.
Pierrot Sarkis. Perforated appendicitis in a neonate presenting with intestinal obstruction.J Neonatal Surg. 2013; 2:24.
Khan RA, Menon P, Rao KLN. Beware of neonatal appendicitis. J Indian Assoc Pediatr Surg. [Internet]. 2010 [cited 2015 Jun 02];15:67-9.doi: 10.4103/0971-9261.70646.
Arora NK, Deorari AK, Bhatnagar V, Mitra DK, Singhal PK, Singh M, et al. Neonatal appendicitis: A rare cause of surgical emergency in preterm babies. Indian Pediatr. 1991; 28:1330–3.
Schwartz KL, Gilad E, Sigalet D, Yu W, Wong AL. Neonatal acute appendicitis: a proposed algorithm for timely diagnosis. J Pediatr Surg. 2011; 46:2060-4.
Raveenthiran V. Neonatal appendicitis (part 1): a review of 52 cases with abdominal manifestation. J Neonatal Surg. 2015; 4:4.
Mirza B. Perforated appendicitis presenting as small bowel obstruction in an infant. APSP J Case Rep. 2011; 2:26.
Makama JG, Kache SA,Ajah LJ,Ameh EA.Intestinal obstruction caused by appendicitis: A systematic review. J West Afr Coll Surg. 2017; 7:94–115.
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Copyright (c) 2020 Iftikhar Ahmad Jan, Sarah Bin Hariz, Faisal Al Zidgali, Zahid Latif Saqi, Ghazy Habeeb Lutf
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