Beware of neonatal appendicitis

Khan, Rizwan; Menon, Prema; Rao, K. L. N.

doi:10.4103/0971-9261.70646

Cited by 37 publications

(49 citation statements)

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“…Although common in the pediatric population, appendicitis in newborns is rarely considered as a differential diagnosis in acute abdomen, and is an infrequent occurrence in children under two years of age, affecting only 2% of children in this age group (2) . It is pointed out that NA corresponds to only 0.04% -0.2% of cases in children under two years with less than 50 cases described in the last 30 years (3) .…”

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confidence: 99%

“…The main factor that contributes to diagnostic delay is the low level of suspicion of NA in newborns, even with subtle clinical presentation already installed and which is erroneously treated as necrotizing enterocolitis (NEC) (2) . According to studies, the rarity of the inflammatory process in the vermiform appendix during the neonatal period is attributed to its still embryonic morphology, i.e.…”

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confidence: 99%

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Neonatal appendicitis: a survival case study

Secco¹,

Costa²,

Moraes

et al. 2017

Rev. Bras. Enferm.

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Objective: To report a case of neonatal appendicitis in a children's hospital in southern Brazil, demonstrating the impact on neonatal survival. Method: Case study with data collection from medical records, approved by the Institution and Ethics Committee for Research with Human Beings. Results: The clinical picture is initially characterized by food intolerance, evolving to hypoactivity, alteration of vital signs and septicemia due to intestinal perforation. Management is exclusively surgical, since no case described in the literature was diagnosed preoperatively and the findings usually point to acute abdomen. Conclusion: A focused clinical surveillance should be established when the infant presents peritoneal irritation. Follow-up of the evolution and the worsening of the symptoms by nurses, as part of the care team in partnership with the medical team, enables an early surgical intervention, thereby avoiding complications such as septicemia and death. Descriptors: Appendicitis; Neonatal Intensive Care Unit; Nursing; Neonate; Survival. RESUMO Objetivo: Divulgar um caso de apendicite neonatal ocorrido em um hospital infantil do Sul do Brasil, evidenciando o impacto na sobrevida do neonato. Método: Estudo de caso com coleta de dados em prontuário, aprovado pela Instituição e pelo Comitê de Ética em Pesquisa com Seres Humanos. Resultados: O quadro clínico é caracterizado inicialmente por intolerância alimentar, evoluindo para hipoatividade, alteração de sinais vitais e septicemia por perfuração intestinal. A conduta é exclusivamente cirúrgica, pois nenhum caso descrito na literatura foi diagnosticado no pré-operatório e os achados normalmente voltam-se para abdome agudo. Conclusão: Deve-se estabelecer uma vigilância clínica enfocada quando o recém-nascido apresenta quadro de irritação peritoneal. O acompanhamento da evolução e a piora dos sintomas pela enfermagem, como parte da equipe de cuidado e parceira da equipe médica, propicia intervenção cirúrgica precoce, evitando complicações como septicemia e óbito. Descritores: Apendicite; Unidade de Terapia Intensiva Neonatal; Enfermagem; Recém-Nascido; Sobrevida. RESUMEN Objetivo: Divulgar un caso de apendicitis neonatal ocurrido en un hospital infantil del Sur de Brasil, evidenciando el impacto en la sobrevida del neonato. Método: Estudio de caso con coleta de datos en prontuario, aprobado por la Institución y por El Comité de Ética en Pesquisa con Seres Humanos. Resultados: El cuadro clínico es caracterizado inicialmente por intolerancia alimentar, evolucionando para hipoactividad, alteración de señales vitales y septicemia por perforación intestinal. La conducta es exclusivamente quirúrgica, pues ningún caso descrito en la literatura fue diagnosticado en el preoperatorio y los allazgos normalmente se vuelven hacia el abdomen agudo. Conclusión: Se debe establecer una vigilancia clínica enfocada cuando el recién nacido presenta cuadro de irritación peritoneal. El acompañamiento de la evolución y la empeora de los síntomas por la enfermería, como parte del e...

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confidence: 99%

mentioning

confidence: 99%

Neonatal appendicitis: a survival case study

Secco¹,

Costa²,

Moraes

et al. 2017

Rev. Bras. Enferm.

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“…Recent trials have suggested that initial treatment with either peritoneal drainage or laparotomy may have equivalent results in stage IIIB NEC [23,24]. In contrast, non-operative management of NPA is usually not recommended [1]. The reported failure rate for non-operative management of perforated appendicitis in children ranges from 10% to 40% [25][26][27].…”

Section: Managementmentioning

confidence: 99%

“…The reported failure rate for non-operative management of perforated appendicitis in children ranges from 10% to 40% [25][26][27]. In light of increasing non-operative management of NEC, a missed diagnosis of perforated appendicitis may explain failure of drain placement in a subset of patients [1]. Patients who fail conservative management may be at higher risk for postoperative complications and extensive bowel resection [25,28,29].…”

Section: Managementmentioning

confidence: 99%

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Neonatal Perforated Appendicitis Attributed to Localized Necrotizing Enterocolitis of the Appendix: A Review

et al. 2017

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Neonatal appendicitis is a rare clinical entity associated with remarkable morbidity and mortality. Appendicular perforation is common and the diagnosis is usually made intra-operatively. The causative etiology of neonatal perforated appendicitis (NPA) is a subject of debate and has not been elucidated. Although many etiologic theories exist, increasing evidence suggests a subset of NPA cases may represent a form of necrotizing enterocolitis (NEC) localized to the appendix. We herein present a review of the current literature to include cases of NPA attributed to localized NEC. A high index of clinical suspicion and early laparotomy are recommended.

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Sepsis after non‐perforated acute appendicitis

Faraji-Goodarzi

2019

Clinical Case Reports

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Key Clinical Message Appendicitis is a worm‐like appendage whose base is located on the posterior side of the inner cecum. Acute appendicitis is uncommon in children younger than 5 years old. The patient was a 1.5‐year‐old boy who was admitted to the hospital with a primary complaint of fever, diarrhea, and vomiting. A pathological report of acute puffiness appendicitis with peri appendicitis was confirmed. After two weeks of treatment, the patient was discharged with an good general condition.

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Beware of neonatal appendicitis

Cited by 37 publications

References 10 publications

Neonatal appendicitis: a survival case study

Neonatal appendicitis: a survival case study

Neonatal Perforated Appendicitis Attributed to Localized Necrotizing Enterocolitis of the Appendix: A Review

Sepsis after non‐perforated acute appendicitis

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