scholarly journals Perforated Acute Appendicitis in a Six-Day-Old Neonate: A Rare Differential Diagnosis of Neonatal Peritonitis

2021 ◽  
pp. 188-194
Author(s):  
Thanh Xuan Nguyen ◽  
Nhu Thanh Dang ◽  
Hai Thanh Phan ◽  
Nhu Hien Pham ◽  
Hoai Anh Vu
Keyword(s):  
Differential Diagnosis ◽  
Critical Care ◽  
Acute Appendicitis ◽  
Septal Defect ◽  
Pulmonary Atresia ◽  
Hemodynamic Instability ◽  
Term Infant ◽  
Rare Differential Diagnosis ◽  
Rare Diagnosis ◽  
Neonatal Peritonitis

Acute appendicitis is a rare diagnosis of acute abdomen in neonates which is associated with high mortality due to late diagnosis. Here, we presented a case of acute neonatal appendicitis in a 6-year-old full-term infant with Down syndrome and pulmonary atresia with ventricular septal defect. The patient underwent surgery and postoperative critical care. However, he died on postoperative day 5 due to worsening sepsis and decompensated hemodynamic instability.

scholarly journals Uncommon Differential Diagnosis of Acute Right-sided Abdominal Pain – Case Report

2019 ◽  
Vol 4 (1) ◽  
pp. 33-36
Author(s):  
Cédric Kwizera ◽  
Benedikt Wagner ◽  
Johannes B. Wagner ◽  
Călin Molnar
Keyword(s):  
Differential Diagnosis ◽  
Abdominal Pain ◽  
Acute Appendicitis ◽  
Fragile X ◽  
Pleural Empyema ◽  
Blind Ending ◽  
Rare Differential Diagnosis ◽  
Mentally Impaired ◽  
The Right ◽  
Tract Infections

Abstract The appendix is a worm-like, blind-ending tube, with its base on the caecum and its tip in multiple locations. Against all odds, it plays a key role in the digestive immune system and appendectomy should therefore be cautiously considered and indicated. We report the case of a 45-year-old male with a known history of Fragile-X syndrome who presented to the emergency department with intense abdominal pain and was suspected of acute appendicitis, after a positive Dieulafoy’s triad was confirmed. The laparoscopic exploration showed no signs of inflammation of the appendix; nonetheless, its removal was carried out. Rising inflammatory laboratory parameters led to a focused identification of a pleural empyema due to a tooth inlay aspiration. Our objective is to emphasize the importance of a thorough anamnesis, even in cases of mentally impaired patients, as well as to highlight a rare differential diagnosis for appendicitis. Acute appendicitis is an emergency condition that requires a thorough assessment and appropriate therapy. Clinical examinations are important, but in this particular case, imaging methods had a much more important role in establishing the right treatment approach. Furthermore, the signs of acute appendicitis are mimicked by several medical conditions including respiratory tract infections.

scholarly journals A rare differential diagnosis of acute appendicitis: Appendiceal endometriosis

2012 ◽  
Vol 28 (3) ◽  
pp. 159-161
Author(s):  
Semra Dogan ◽  
Asiye Safak Bulut ◽  
Burcu Saygan Karamursel
Keyword(s):  
Differential Diagnosis ◽  
Acute Appendicitis ◽  
Rare Differential Diagnosis

Acute renal artery aneurysm rupture – a rare differential diagnosis of acute appendicitis

2011 ◽  
Vol 161 (17-18) ◽  
pp. 445-447 ◽  
Author(s):  
Thomas von Ahnen ◽  
Martin von Ahnen ◽  
Markus Landinger ◽  
Stefan K. Schopf ◽  
Hans Martin Schardey ◽  
...  
Keyword(s):  
Differential Diagnosis ◽  
Acute Appendicitis ◽  
Renal Artery ◽  
Artery Aneurysm ◽  
Aneurysm Rupture ◽  
Renal Artery Aneurysm ◽  
Rare Differential Diagnosis

Neonatal appendicitis: An experience with 2 cases at Hue Central Hospital

2021 ◽  
Author(s):  
Huu Thien Ho
Keyword(s):  
Neonatal Intensive Care ◽  
Pulmonary Atresia ◽  
Perforated Appendicitis ◽  
Abdominal Distension ◽  
Hemodynamic Instability ◽  
Term Infant ◽  
Older Children ◽  
Reactive Protein ◽  
First Case ◽  
High Index Of Suspicion

Bаckground: Аcute аppendicitis is extremely rаre in the neonаtаl periods. The number of cаses published in the lаst century is just over 100. Mortаlity аnd morbidity аre still high due to diаgnostic problems becаuse there аre no specific clinicаl feаtures аnd reliаble investigаtion for the diаgnosis. Herein, we present two pаtients to remind physiciаns thаt the diаgnosis of neonаtаl аppendicitis should аlwаys be kept in mind. Cаse presentаtions: The first case presented at Neonatal Intensive Care Unit with an 18-hour-history of irritability, vomiting, and abdominal distension. With high white blood cell count and C-reactive protein level, the baby was initially diagnosed with neonatal sepsis. The ultrasound performed on day 3 after hospitalization found peritonitis but not seen appendicitis. Post-operative diagnosis confirmed acute perforated appendicitis withperitonitis. The baby was well covered without complication. The second case was a 6-year-old full-term infant with Down syndrome and Pulmonary atresia with ventricular septal defect. The patient underwent surgery and postoperative critical care. However, he died at post-operative day 5 due to worsening sepsis and decompensated hemodynamic instability. Conclusion: It is а fаct thаt аcute аppendicitis in neonаtes аnd infаnts mаy not be diаgnosed eаsily аnd quickly аs in older children becаuse there аre no specific clinicаl feаtures аnd reliаble investigаtion for the diаgnosis. Delаy in diаgnosis аnd treаtment often results in аppendiculаr perforаtion аnd peritonitis. The mаin sаfeguаrd аgаinst mortаlity аnd morbidity remаins а high index of suspicion.

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