Acute neonatal appendicitis: the potential value of laparoscopy as a diagnostic and therapeutic tool

Abstract: Appendicitis is the most common cause of acute abdominal pain requiring surgical intervention in children, but it is very rare in infants and neonates. Nonspecific clinical features and low index of suspicion make its diagnosis and management particularly challenging, which may result in high chances of complications such as perforation and peritonitis, thus increasing morbidity and mortality. We present the case of a female late preterm newborn with bloody stools and bilious gastric aspirates on the second day of life. After 24 h of clinical, laboratory and radiological surveillance, which evidenced deterioration in the newborn’s condition, an exploratory laparoscopy was performed, showing generalized peritonitis and perforated inflammatory appendix. A laparoscopic appendicectomy was performed. Histology confirmed the appendicitis diagnosis. The authors enhance the value of diagnostic laparoscopy and its potential as a therapeutic tool in neonates.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
Acute neonatal appendicitis: the potential value of laparoscopy as a diagnostic and therapeutic tool ; volume:2 ; number:1-2 ; year:2013 ; pages:83-85 ; extent:3
Case reports in perinatal medicine ; 2, Heft 1-2 (2013), 83-85 (gesamt 3)

Creator
Dias, Joana
Cerqueira, Arnaldo
Pinheiro, Liliana
Rezende, Daria
Sá, Carla
Abreu, Eduarda
Silva, Albina
Marques, Matos
Pereira, Almerinda
Manuel, José
Pinto, Jorge Correia

DOI
10.1515/crpm-2012-0072
URN
urn:nbn:de:101:1-2411121458352.346487907475
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:24 AM CEST

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Associated

  • Dias, Joana
  • Cerqueira, Arnaldo
  • Pinheiro, Liliana
  • Rezende, Daria
  • Sá, Carla
  • Abreu, Eduarda
  • Silva, Albina
  • Marques, Matos
  • Pereira, Almerinda
  • Manuel, José
  • Pinto, Jorge Correia

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