Acute appendicitis - One of the causes of peritonitis in newborn - A case report with literature review
Description
OLSZANICKA, Anna, KOŁODZIEJCZYK, Kacper, BRANEWSKA, Justyna, OSTROWSKA, Barbara, MATYSEK, Mikołaj, IMIOŁO, Jan, MACIĄG, Anna, NIEMIEC, Rafał, HOP, Izabela & GALAS, Adam. Acute appendicitis - One of the causes of peritonitis in newborn - A case report with literature review. Journal of Education, Health and Sport. 2023;29(1):65-70. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2023.29.01.008
https://apcz.umk.pl/JEHS/article/view/43655
https://zenodo.org/record/7933344
The journal has had 40 points in Ministry of Education and Science of Poland parametric evaluation. Annex to the announcement of the Minister of Education and Science of December 21, 2021. No. 32343.
Has a Journal's Unique Identifier: 201159. Scientific disciplines assigned: Physical Culture Sciences (Field of Medical sciences and health sciences); Health Sciences (Field of Medical Sciences and Health Sciences).
Punkty Ministerialne z 2019 - aktualny rok 40 punktów. Załącznik do komunikatu Ministra Edukacji i Nauki z dnia 21 grudnia 2021 r. Lp. 32343. Posiada Unikatowy Identyfikator Czasopisma: 201159.
Przypisane dyscypliny naukowe: Nauki o kulturze fizycznej (Dziedzina nauk medycznych i nauk o zdrowiu); Nauki o zdrowiu (Dziedzina nauk medycznych i nauk o zdrowiu).
© The Authors 2023;
This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland
Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike.
(http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited.
The authors declare that there is no conflict of interests regarding the publication of this paper.
Received: 21.04.2023. Revised: 20.04.2023. Accepted: 15.05.2023. Published: 15.05.2023.
Acute appendicitis - One of the causes of peritonitis in newborn - A case report with literature review
Ostre zapalenie wyrostka robaczkowego - Jedna z przyczyn zapalenia otrzewnej u noworodków - przypadek kliniczny z przeglądem literatury
Anna Olszanicka, Kacper Kołodziejczyk, Justyna Branewska, Barbara Ostrowska, Mikołaj Matysek, Jan Imioło,
Anna Maciąg, Rafał Niemiec, Izabela Hop, Adam Galas
Anna Olszanicka
Szpital Uniwersytecki w Krakowie
https://orcid.org/0009-0009-9381-978X
Kacper Kołodziejczyk
109 Szpital Wojskowy z Przychodnią SP ZOZ w Szczecinie; ul. Piotra Skargi 9-11, 70-965 Szczecin
https://orcid.org/0009-0009-0004-9908
Justyna Branewska
Samodzielny Publiczny Wojewódzki Szpital Zespolony w Szczecinie
https://orcid.org/0009-0009-9523-9551
Barbara Ostrowska
Uniwersytecki Szpital Kliniczny im. F. Chopina w Rzeszowie
https://orcid.org/0009-0005-1241-1450
Mikołaj Matysek
Szpital Miejski Specjalistyczny im. Gabriela Narutowicza w Krakowie
https://orcid.org/0000-0002-4826-3008
Jan Imioło
Szpital Specjalistyczny im. Stefana Żeromskiego SP ZOZ w Krakowie
https://orcid.org/0009-0009-1575-6998
Anna Maciąg
Szpital Św. Michała Archanioła - Centrum Medyczne w Łańcucie
https://orcid.org/0009-0000-1338-1883
Rafał Niemiec
Szpital Uniwersytecki w Krakowie
Izabela Hop
109 Szpital Wojskowy z Przychodnią SP ZOZ w Szczecinie
https://orcid.org/0009-0007-9260-8409
Adam Galas
Szpital Uniwersytecki w Krakowie
https://orcid.org/0009-0009-5491-0687
ABSTRACT
INTRODUCTION. Acute appendicitis is the most common reason for abdominal surgery in children however in newborn and infants it’s casuistics. It is also the most common surgical emergency in pregnancy. Right lower abdominal pain, abdominal stiffness, and periabdominal pain radiating to the right lower abdomen are the best signs to diagnose acute appendicitis in adults. Absence Or attenuation of intestinal murmurs, positive sternal muscle signs, positive blunt signs, and positive Rovsing's Sign are the most reliable signs for the diagnosis of acute appendicitis in children.
PURPOSE. The aim of the study is to show diagnostic difficulties of acute appendicitis in newborns and infants. It is one of the main differential diagnoses of unclear abdominal conditions. The smaller the child, the less characteristic the symptoms.
A CASE REPORT. The study analyzes a male newborn born in the 37th week of pregnancy by caesarean section. Prenatal and family history of siblings' illnesses. In whom, on the 11th day of life, symptoms of food intolerance were found, green deposits were noticed in the stomach probe, and the presence of blood in the stool. Intraoperatively, gangrenous perforated appendix with diffuse peritonitis was found.
Acute appendicitis is rarely considered in newborns and infants as the etiological factor of acute peritonitis. However, the presented patient with a genetic defect.
CONCLUSION. Acute appendicitis is a common phenomenon in childhood, but this diagnosis is rarely considered in the differential diagnosis of acute abdomen in the neonatal period, is more common in premature babies. The clinical picture of neonatal acute appendicitis is unspecific and may lead to delayed diagnosis and misdiagnosis of necrotizing enterocolitis, which is a much more common condition in the neonatal period. We would like to present the diagnostic difficulties, course of treatment, and complications associated with neonatal appendicitis.
KEY WORDS: appendicitis, newborns, neonatal period, pregnancy, nonspecific abdominal pain; renal colic; surgery, symptoms, peritonitis
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