Perforated appendix in a neonate: a review of literature and case report from northern Tanzania

Lodhia Jay, Philemon Rune, Wapalila Daudi, Sadiq Adnan, Amsi Patrick, Msuya David, Herman Ayesiga

Kilimanjaro Christian Medical Center, Moshi, United Republic of Tanzania

Correspondence to:

Lodhia Jay, Department of General Surgery, Kilimanjaro Christian Medical Center, Moshi, United Republic of Tanzania.

Email: jlodhia2002@yahoo.com

Summary

Acute perforated appendicitis is rare in neonates and is associated with high morbidity and mortality. This is mainly because the rarity of the pathology and abnormal clinical features, cause delays in diagnosis and definitive management.

This is a case report of a premature neonate who presented with sudden onset of abdominal distension associated with inability to pass stools. Upon initial abdominal x-ray, free air under the right hemi diaphragm was seen. Emergency laparotomy was done where intra operatively there was a perforation at the appendicular tip. Appendectomy was done and the neonate recovered well with mild surgical site infection during the course to recovery.

Neonatal perforated appendicitis is rare and clinicians need to consider it as a differential diagnosis due to the atypical presentations. We report of an unusual case of a preterm neonate who presented with clinical features of intestinal obstruction and found at laparotomy perforated appendix at the tip due to neonatal appendicitis.

Keywords: Neonate, Neonatal appendicitis, Neonatal perforated appendicitis.

Ann Afr Surg. ****; **(*):***

DOI: http://dx.doi.org/10.4314/aas.v*****

Conflicts of Interest: None

Funding: None

© 2020 Author. This work is licensed under the Creative Commons Attribution 4.0 International License.

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