Acute appendicitis causing small intestinal band obstruction in a premature baby: A case report

Authors

  • Iftikhar Ahmad Jan Sheikh Shakhbout Medical City, Abu Dhabi
  • Sarah Bin Hariz Department of Emergency, Sheikh Shakhbout Medical City, Abu Dhabi, UAE
  • Faisal Al Zidgali Department of Neonatology. Sheikh Shakhbout Medical City, Abu Dhabi, UAE
  • Zahid Latif Saqi Sheikh Shakhbout Medical City, Abu Dhabi
  • Ghazy Habeeb Lutf Department of Emergency, Sheikh Shakhbout Medical City, Abu Dhabi, UAE

DOI:

https://doi.org/10.47338/jns.v9.533

Keywords:

Appendicitis, Neonate, Intestinal obstruction, Bilious vomiting

Abstract

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.

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Author Biographies

Iftikhar Ahmad Jan, Sheikh Shakhbout Medical City, Abu Dhabi

Chief, Division of Pediatric Surgery

Sarah Bin Hariz, Department of Emergency, Sheikh Shakhbout Medical City, Abu Dhabi, UAE

Medical resident Emergency department

Faisal Al Zidgali, Department of Neonatology. Sheikh Shakhbout Medical City, Abu Dhabi, UAE

Chief of Neonatology

Zahid Latif Saqi, Sheikh Shakhbout Medical City, Abu Dhabi

Specialist, Department of Pediatric Surgery

Ghazy Habeeb Lutf, Department of Emergency, Sheikh Shakhbout Medical City, Abu Dhabi, UAE

Specialist Emergency

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Published

2020-07-30

How to Cite

1.
Jan IA, Bin Hariz S, Al Zidgali F, Saqi ZL, Lutf GH. Acute appendicitis causing small intestinal band obstruction in a premature baby: A case report. J Neonatal Surg [Internet]. 2020Jul.30 [cited 2020Oct.26];9:12. Available from: https://www.jneonatalsurg.com/ojs/index.php/jns/article/view/jns-533