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Anales de la Facultad de Medicina
versão impressa ISSN 1025-5583
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ROMERO ROJAS, Nery e SANCHEZ GARCIA, Luis. Neonatal acute appendicitis: case report. An. Fac. med. [online]. 2016, vol.77, n.4, pp.421-422. ISSN 1025-5583.
Introduction. Acute appendicitis is arare disease in newborns with a high mortality because of unspecific clinical features. We report a case of non-perforated acute appendicitis in a newborn at the San Bartolome Hospital in Lima. Case report. A female newborn weighing 3170 g in the first day repelled maternallactation; at the third day, she presented 39cC fever, and later, abdominal distention, constipation, and abundant vomiting. The X-ray films showed a distended gastric camera and paralytic ileum; other auxiliary exams were inconclusive. She was operated with the diagnosis of intestinal obstruction; we found the ceccal appendix with multiple lax adhesions to the ileum. The pathologic study showed an acute not perforated gangrenous appendicitis. Appendicitis must be considered in the differential diagnosis of a neonatal surgical emergency.
Palavras-chave : Neonatal Appendicitis.