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Kostekci YE, Ocak BO, Ekiyor E, Gucenmez K, Demirtas F, Ergun E, Mehdilli A, Bahadir GG, Okulu E, Erdeve Ö, Arsan S, Atasay B. Acute Abdomen in an Extremely Low-Birth-Weight Preterm Neonate: A Case of Appendicitis. Z Geburtshilfe Neonatol 2023; 227:307-309. [PMID: 37224881 DOI: 10.1055/a-2044-0889] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023]
Abstract
INTRODUCTION Neonatal appendicitis is a very rare surgical entity. Non-specific symptoms such as feeding intolerance, abdominal distension, vomiting, increased gastric residue, lethargy, and fever may be present. The majority of reported cases could not be identified early. In this report, we present an extremely low-birth-weight preterm neonate who has been diagnosed with appendicitis. CASE PRESENTATION A 980-gram preterm baby girl was born at 31 1/7 weeks of gestation. The physical examination was normal at birth. Her initial clinical course was uneventful. On the 7th day of life, she developed abdominal distention and tenderness. She had an episode of bloody stools and bilious vomiting. An abdominal X-ray suggested localized perforation in the cecum with an air-fluid level in the right lower quadrant. The clinical findings suggested necrotizing enterocolitis and perforation, and a diagnostic laparotomy was performed. The bowel was found to be normal with a necrotic appendix. The appendectomy was performed. She was discharged from the neonatal intensive care unit with no complications. CONCLUSION Appendicitis is extremely rare in the neonatal period. It is quite challenging to evaluate the presentation accurately, which causes a delay in diagnosis. However, if an atypical NEC or peritonitis is present, appendicitis should be considered. Early diagnosis and timely surgical intervention improve the prognosis of neonatal appendicitis.
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Affiliation(s)
- Yasemin Ezgi Kostekci
- Department of Pediatrics, Division of Neonatology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Buse Onen Ocak
- Department of Pediatrics, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Ege Ekiyor
- Department of Pediatric Surgery, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Kader Gucenmez
- Department of Pediatric Surgery, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Ferhan Demirtas
- Department of Pediatrics, Division of Neonatology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Ergun Ergun
- Department of Pediatric Surgery, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Aysel Mehdilli
- Department of Pediatrics, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Gulnur Gollu Bahadir
- Department of Pediatric Surgery, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Emel Okulu
- Department of Pediatrics, Division of Neonatology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Ömer Erdeve
- Department of Pediatrics, Division of Neonatology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Saadet Arsan
- Department of Pediatrics, Division of Neonatology, Ankara University Faculty of Medicine, Ankara, Turkey
| | - Begum Atasay
- Department of Pediatrics, Division of Neonatology, Ankara University Faculty of Medicine, Ankara, Turkey
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Cakir U, Kahvecioglu D, Alan S, Yildiz D, Akduman H, Erdeve O, Bahadir GG, Kologlu M, Atasay B, Arsan S. Extra-lobar Pulmonary Sequestration Requiring Intrauterine Thoracentesis. APSP J Case Rep 2015; 6:3. [PMID: 25628992 PMCID: PMC4288834] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2014] [Accepted: 07/21/2014] [Indexed: 12/02/2022] Open
Abstract
Congenital lung malformations can result in significant morbidity and mortality in children. Pulmonary sequestration is an uncommon congenital malformation of the lung that can cause complications even in fetal life. We herein present a newborn with extra-lobar sequestration (ELS) that lead to hydrops fetalis necessitating fetal intervention.
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Affiliation(s)
- Ufuk Cakir
- Division of Neonatology, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey.
| | - Dilek Kahvecioglu
- Division of Neonatology, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey.
| | - Serdar Alan
- Neonatal Intensive Care Unit, Hitit University Corum Training and Research Hospital, Corum, Turkey.
| | - Duran Yildiz
- Division of Neonatology, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey.
| | - Hasan Akduman
- Division of Neonatology, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey.
| | - Omer Erdeve
- Division of Neonatology, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey.
| | - Gulnur Gollu Bahadir
- Department of Pediatric Surgery, Ankara University School of Medicine, Ankara, Turkey.
| | - Meltem Kologlu
- Department of Pediatric Surgery, Ankara University School of Medicine, Ankara, Turkey.
| | - Begum Atasay
- Division of Neonatology, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey.
| | - Saadet Arsan
- Division of Neonatology, Department of Pediatrics, Ankara University School of Medicine, Ankara, Turkey.
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