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A Rare Anatomical Location of Necrotizing Enterocolitis; Neonatal Appendicitis

Year 2021, Volume: 48 Issue: 3, 639 - 643, 01.09.2021
https://doi.org/10.5798/dicletip.988089

Abstract

Necrotizing enterocolitis(NEC) is the most significant gastrointestinal emergency in neonates, particularly affecting those who are premature. Neonatal appendicitis is highly uncommon in term infants and its diagnosis is typically incidental. The clinical presentation of newborn appendicitis is nonspecific and usually mimics that of NEC. Pneumatosis intestinalis is a finding that is extremely specific to NEC; it is very surprising to observe this finding in a patient with acute appendicitis. A 2730-g male infant was born at 39 weeks gestation to a 33-year-old mother. 30 minutes after delivery , the patient exhibited grunting and respiratory distress and was subsequently admitted to the Neonatal Intensive Care Unit. On the 7th day, the patient developed nutrition intolerance. The feeding was discontinued and the nasogastric catheter was switched to free drainage. Abdominal examination and laboratory parameters were not significant, but direct abdominal radiographs showed findings suggesting pneumatosis intestinalis. NEC was considered and the antibiotics were revised accordingly. The department of pediatric surgery was consulted as the patient’s abdominal examination and radiographs showed abnormalities suggestive of advanced NEC. The patient was taken into operation, gangrenous appendicitis was detected and an appendectomy was performed. When considering the differential diagnosis of NEC in neonatal patients, especially in term infants, clinicians should be mindful of acute appendicitis. In this study, we present a case of neonatal appendicitis, which is relatively common in pediatric cases but uncommon in the neonatal period, presenting as atypical NEC.

References

  • 1. Hackam D and Caplan M. Necrotizing enterocolitis: pathophysiology from a historical context. Seminars in pediatric surgery. Elsevier, 2018, p. 11-8.
  • 2. Alganabi M, Lee C, Bindi E, Li B and Pierro A. Recent advances in understanding necrotizing enterocolitis. F1000Research. 2019; 8.
Year 2021, Volume: 48 Issue: 3, 639 - 643, 01.09.2021
https://doi.org/10.5798/dicletip.988089

Abstract

References

  • 1. Hackam D and Caplan M. Necrotizing enterocolitis: pathophysiology from a historical context. Seminars in pediatric surgery. Elsevier, 2018, p. 11-8.
  • 2. Alganabi M, Lee C, Bindi E, Li B and Pierro A. Recent advances in understanding necrotizing enterocolitis. F1000Research. 2019; 8.
There are 2 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Reports
Authors

Murat Konak

Mehmet Sarıkaya

Tamer Sekmenli

Fatma Hicret Tiyek This is me

Pınar Karabağlı This is me

Hanifi Soylu

Publication Date September 1, 2021
Submission Date May 4, 2021
Published in Issue Year 2021 Volume: 48 Issue: 3

Cite

APA Konak, M., Sarıkaya, M., Sekmenli, T., Tiyek, F. H., et al. (2021). A Rare Anatomical Location of Necrotizing Enterocolitis; Neonatal Appendicitis. Dicle Tıp Dergisi, 48(3), 639-643. https://doi.org/10.5798/dicletip.988089
AMA Konak M, Sarıkaya M, Sekmenli T, Tiyek FH, Karabağlı P, Soylu H. A Rare Anatomical Location of Necrotizing Enterocolitis; Neonatal Appendicitis. diclemedj. September 2021;48(3):639-643. doi:10.5798/dicletip.988089
Chicago Konak, Murat, Mehmet Sarıkaya, Tamer Sekmenli, Fatma Hicret Tiyek, Pınar Karabağlı, and Hanifi Soylu. “A Rare Anatomical Location of Necrotizing Enterocolitis; Neonatal Appendicitis”. Dicle Tıp Dergisi 48, no. 3 (September 2021): 639-43. https://doi.org/10.5798/dicletip.988089.
EndNote Konak M, Sarıkaya M, Sekmenli T, Tiyek FH, Karabağlı P, Soylu H (September 1, 2021) A Rare Anatomical Location of Necrotizing Enterocolitis; Neonatal Appendicitis. Dicle Tıp Dergisi 48 3 639–643.
IEEE M. Konak, M. Sarıkaya, T. Sekmenli, F. H. Tiyek, P. Karabağlı, and H. Soylu, “A Rare Anatomical Location of Necrotizing Enterocolitis; Neonatal Appendicitis”, diclemedj, vol. 48, no. 3, pp. 639–643, 2021, doi: 10.5798/dicletip.988089.
ISNAD Konak, Murat et al. “A Rare Anatomical Location of Necrotizing Enterocolitis; Neonatal Appendicitis”. Dicle Tıp Dergisi 48/3 (September 2021), 639-643. https://doi.org/10.5798/dicletip.988089.
JAMA Konak M, Sarıkaya M, Sekmenli T, Tiyek FH, Karabağlı P, Soylu H. A Rare Anatomical Location of Necrotizing Enterocolitis; Neonatal Appendicitis. diclemedj. 2021;48:639–643.
MLA Konak, Murat et al. “A Rare Anatomical Location of Necrotizing Enterocolitis; Neonatal Appendicitis”. Dicle Tıp Dergisi, vol. 48, no. 3, 2021, pp. 639-43, doi:10.5798/dicletip.988089.
Vancouver Konak M, Sarıkaya M, Sekmenli T, Tiyek FH, Karabağlı P, Soylu H. A Rare Anatomical Location of Necrotizing Enterocolitis; Neonatal Appendicitis. diclemedj. 2021;48(3):639-43.