Zufallsbefund einer akuten Appendizitis bei einem Frühgeborenen mit Hämatochezie
| Autor: | V. Aumann, D. Sachwitz, H. Krause, K. Herrmann, H.-J. Haß |
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| Rok vydání: | 2009 |
| Předmět: | |
| Zdroj: | Zentralblatt für Chirurgie. 134:557-559 |
| ISSN: | 1438-9592 0044-409X |
| DOI: | 10.1055/s-0028-1098922 |
| Popis: | In newborns, acute appendicitis is a very rare condition associated with significant lethality. Due to mostly non-specific symptoms, it is difficult to find the correct diagnosis preoperatively. Interestingly, rectal bleeding as a clinical sign in neonatal appendicitis is very uncommon. Here, we report on a 4-day-old premature female newborn with rectal bleeding who, therefore, underwent laparotomy because of a suspected volvulus. Except for an acutely inflamed appendix, no other pathological findings were found intraopera-tively, leading to appendectomy. Histological -investigation of the specimen confirmed acute ulcero-phlegmonous appendicitis. Thus, the rectal bleed-ing can be attributed to erosions as part of the inflam-matory changes in clinically apparent appen-dicitis. The postoperative course of the -patient was unremarkable, in perticular, no further rectal bleeding episode was observed. In -spite of the low incidence of neonatal appendi-citis, it has to be included in the spectrum of dif-ferential diagnoses if unclear abdominal discomfort occurs and whenever non-specific clinical signs are found in newborns. Early surgical intervention is considered the curative treatment -approach of choice and can, thus, contribute to a reduction of the potential complications. |
| Databáze: | OpenAIRE |
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