Clinical analysis of 6 cases of acute neonatal suppurative appendicitis with perforation
10.3760/cma.j.issn.2096-2932.2024.02.004
- VernacularTitle:新生儿急性化脓性阑尾炎并穿孔6例临床分析
- Author:
Hang YANG
1
;
Qiang BAI
;
Chuanxin LI
;
Jianhong YAN
;
Li CHEN
;
Han XIAO
Author Information
1. 昆明市儿童医院普外科，昆明 650228
- Keywords:
Appendicitis;
Newborn;
Perforation of digestive tract;
Intestinal stricture
- From:Chinese Journal of Neonatology
2024;39(2):80-83
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the clinical features and risk factors of prognosis of neonatal appendicitis.Methods:From January 2014 to December 2022, all infants with neonatal appendicitis and received surgery in our hospital were retrospectively analyzed.Results:A total of 6 cases were enrolled, including 1 boy and 5 girls, with gestational age 36-40 weeks, birth weight 1 990~3 300 g, age of admission 5-11 d and time from illness onset to admission 0.5-4 d. All infants had abdominal distension, combined with vomiting in 4 cases, fever in 3 cases and blood in stool in 1 case. Gastrointestinal perforation was found on preoperative abdominal X-ray in 5 cases. All 6 cases received surgery and confirmed the diagnosis of appendicitis with perforation during the surgery. Appendectomy was performed without mortality. 1 case had Amyand hernia and received high ligation of the hernia sac during operation. 1 case had meningitis and was cured after 3 weeks of antibiotic treatment. 1 case developed adhesive intestinal obstruction 3 months after surgery and underwent intestinal adhesiolysis. One case developed colonic stenosis one month after surgery. The stenotic segment of the colon was resected and primary intestinal anastomosis was performed.Conclusions:Neonatal appendicitis progresses rapidly and is difficult to diagnose. The possibility of appendicitis with perforation should be considered when preoperative abdominal X-ray suggesting pneumoperitoneum. Intraoperatively, it is necessary to pay attention to the relationship between appendiceal perforation and other lesions for comprehensive treatment, and change the surgical approach accordingly.
