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Iranian Journal of Neonatology، جلد ۱۳، شماره ۳، صفحات ۸۹-۹۱
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| عنوان فارسی |
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| چکیده فارسی مقاله |
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| کلیدواژه‌های فارسی مقاله |
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| عنوان انگلیسی |
Neonatal acute Appendicitis: A Diagnostic Challenge |
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| چکیده انگلیسی مقاله |
Background: Neonatal acute apendicitis in the newborn is an extremely rare surgical entity, its incidence is 0.04% to 0.2%, and it represents a diagnostic challenge in this group of patients. For this reason, it is not usual to suspect this pathology when we are facing an acute neonatal abdomen; mostly there is a delay in diagnosis and management. And although the literature shows a decrease in mortality, it is still around 28% in some reviews.Case report: We report a female neonate with complicated acute appendicitis, who at the beginning did not present evident symptoms and did not respond to medical management. On the sixth day, due to poor evolution, he was admitted to surgery with findings: free meconium in the abdominal cavity with a 1-cm-diameter punch-type perforation in the distal ileum (4 cm from the ileus-caecal valve), which was crushed with phlegmonous cecal appendix; Cecum and omentum with abundant fibrin around.Conclusion: The timely diagnosis of acute appendicitis in neonates continues to represent a challenge for neonatologists. Due to its low frequency but high lethality, it should be considered as a diagnostic option against a baby with an acute abdomen that does not show clinical findings of frequent pathologies in addition to an unusual clinical course. |
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| کلیدواژه‌های انگلیسی مقاله |
neonatal appendicitis, Necrotizing Enterocolitis, peritonitis |
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| نویسندگان مقاله |
| Carlos Torres- Salinas
Department of Maternal and Child, Hospital "Ramiro Priale Priale" EsSalud, Continental University, Perú
| Lozano-Moreno Daniel
Department of Maternal and Child, Hospital "Ramiro Priale Priale" EsSalud, Continental University, Perú
| Jesús-Terbullino Luz
Department of Maternal and Child, Hospital "Ramiro Priale Priale" EsSalud, Continental University, Perú
| Franco-Benites Magaly
Department of Pathological Anatomy, Hospital "Ramiro Priale Priale" EsSalud, Continental University, Perú
| Trujillo-Villa Ivette
Pediatric Surgery Service, Hospital "Ramiro Priale Priale" EsSalud, Continental University, Perú
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| نشانی اینترنتی |
https://ijn.mums.ac.ir/article_20973.html |
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| کد مقاله (doi) |
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| زبان مقاله منتشر شده |
en |
| موضوعات مقاله منتشر شده |
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| نوع مقاله منتشر شده |
گزارش موارد نادر |
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