Khan Yousuf Aziz, Zia Kanwal, Saddal Nasir Salim
Department of Paediatric Surgery, National Institute of Child Health (N.I.C.H.), Rafiquee Shaheed Road, Karachi - 75510, Pakistan.
APSP J Case Rep. 2013 May 27;4(2):21. eCollection 2013.
Acute appendicitis is a rare condition in neonates, with a high mortality. If perforated, it seldom presents with radiologically significant pneumoperitoneum. An 11-day-old newborn presented with abdominal distension and reluctance to feeds. X-ray abdomen revealed significant pneumoperitoneum. After optimization of his condition, exploratory laparotomy was performed. Perforated appendix was found and appendicectomy done. Post operative course was stormy that lead to demise of the baby.
急性阑尾炎在新生儿中是一种罕见病症，死亡率很高。如果发生穿孔，很少会出现具有放射学意义的气腹。一名11天大的新生儿出现腹胀和拒食症状。腹部X线检查显示有明显气腹。在病情稳定后，进行了剖腹探查术。发现阑尾穿孔并实施了阑尾切除术。术后病程凶险，最终婴儿死亡。
