Journals / Çocuk Dergisi / 2026 / Cilt: 26 Sayı: 1

Perforated Neonatal Appendicitis: A Case Report

Perfore Neonatal Apandisit: Olgu Sunumu

Bora Öden(MERSIN UNIVERSITY, SCHOOL OF MEDICINE)0000-0002-1371-6257
Benan Namlı Kutluk(MERSIN UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF CHILD HEALTH AND DISEASES)0009-0000-1830-1774
Ayşe Melike Adak(MERSIN UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF CHILD HEALTH AND DISEASES, NEONATOLOGY)0000-0003-3868-6995
Günay Mirzayeva Aliyev(MERSIN UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF CHILD HEALTH AND DISEASES, NEONATOLOGY)0000-0001-5281-7504
İsa Kıllı(MERSIN UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF SURGICAL MEDICAL SCIENCES, DEPARTMENT OF PEDIATRIC SURGERY)0000-0002-4370-9779
Ayşen Orman(MERSIN UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF CHILD HEALTH AND DISEASES, NEONATOLOGY)0000-0003-1783-0185
Yalçın Çelik(MERSIN UNIVERSITY, SCHOOL OF MEDICINE, DEPARTMENT OF INTERNAL MEDICINE, DEPARTMENT OF CHILD HEALTH AND DISEASES, NEONATOLOGY)0000-0002-1357-0585
Pages
68–71
Publication Date
2026-06-15
DOI
—
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

In this case report, we emphasize the importance of suspicion for the newborn appendicitis in patients with a history of perinatal asphyxia and prematurity who developed sudden abdominal rigidity and vomiting.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Neonatal appendicitis is a rare but serious surgical condition that often presents with non‐specific symptoms and a high risk of perforation.
📊
Key Findings & Data:We report a premature male neonate with a history of perinatal asphyxia who developed sudden abdominal distension and bilious vomiting during his hospitalization and operated afterwards.
💡
Conclusion & Impact:In this case report, we emphasize the importance of suspicion for the newborn appendicitis in patients with a history of perinatal asphyxia and prematurity who developed sudden abdominal rigidity and vomiting.
🔬Design:Olgu Sunumu
📍Scope:Comprehensive Sample
⚙️Variables:apandisit · laparotomi · nekrotizan enterokolit

Abstract

Neonatal appendicitis is a rare but serious surgical condition that often presents with non‐specific symptoms and a high risk of perforation. Early recognition is difficult but critical for the survival of the patient. We report a premature male neonate with a history of perinatal asphyxia who developed sudden abdominal distension and bilious vomiting during his hospitalization and operated afterwards. The patient recovered postoperatively and was discharged on the 35th day of hospitalization. In this case report, we emphasize the importance of suspicion for the newborn appendicitis in patients with a history of perinatal asphyxia and prematurity who developed sudden abdominal rigidity and vomiting.

Özet

Neonatal apandisit, non-spesifik semptomlarla seyreden, perforasyon riski yüksek olan, nadir fakat oldukça ciddi bir neonatal cerrahi acildir. Erken tanı her ne kadar zor olsa da hayati önem taşımaktadır. Biz; perinatal asfiksi öyküsü olan ve neonatal apandisit tanısı alan erkek bir prematür yenidoğanı sunuyoruz. Hasta operasyon sonrası iyileşti ve yatışının 35. gününde şifa ile taburcu edildi. Bu olgu sunumunda, perinatal asfiksi ve prematürite öyküsü olan yenidoğanlarda batın distansiyonu ve safralı kusma gibi durumlarda yenidoğan apandisitinden kuşkulanmanın öneminden bahsediyoruz.

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Cite This Article

Öden, B., Kutluk, B. N., Adak, A. M., Aliyev, G. M., Kıllı, İ., Orman, A., Çelik, Y. (2026). Perforated Neonatal Appendicitis: A Case Report. Çocuk Dergisi, Cilt: 26 Sayı: 1, 68–71. https://ajindex.com/articles/1198940

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References (12)

  1. Raveenthiran V. Neonatal Appendicitis (Part 1): A Review of 52 cases with Abdominal Manifestation. J Neonatal Surg. 2015 Jan 10;4(1):4. google scholar
  2. Herrera Ojeda D, Vidales-Nieto E, Medina Vega A, Damián Cuellar V, Carvajal HG, Cavazos Castro AJ. Neonatal perforated appendicitis. Case report. Int J Surg Case Rep. 2025 Jan;126:110748. google scholar
  3. Sarnat HB, Flores-Sarnat L, Fajardo C, Leijser LM, Wusthoff C, Mohammad K. Sarnat Grading Scale for Neonatal Encephalopathy after 45 Years: An Update Proposal. Pediatr Neurol. 2020 Dec;113:75-79. google scholar
  4. Liu Y, Yu X, Zhang G, Xie C, Li Y, Mu P, Chen S, Chen Y, Huang S. Preterm Birth and Infantile Appendicitis. Pediatrics. 2023 Dec 1;152(6):e2023063815. google scholar
  5. Zhao Y, Tang C, Huang J, Liao J, Gu Y, Hua K, Zhang Y, Chen Y, Li S. Clinical characteristics and prognosis of 69 cases of neonatal appendicitis. Pediatr Investig. 2023 Jun 7;7(2):95-101. google scholar
  6. Schwartz KL, Gilad E, Sigalet D, Yu W, Wong AL. Neonatal acute appendicitis: a proposed algorithm for timely diagnosis. J Pediatr Surg. 2011 Nov;46(11):2060-4. google scholar
  7. Bence CM, Densmore JC. Neonatal and Infant Appendicitis. Clin Perinatol. 2020 Mar;47(1):183-196. google scholar
  8. Karaman A, Cavuşoğlu YH, Karaman I, Cakmak O. Seven cases of neonatal appendicitis with a review of the English language literature of the last century. Pediatr Surg Int. 2003 Dec;19(11):707-9. google scholar
  9. Iribarren I, Hilario E, Álvarez A, Alonso-Alconada D. Neonatal multiple organ failure after perinatal asphyxia. An Pediatr (Engl Ed). 2022 Oct;97(4):280.e1-280.e8. google scholar
  10. Nishizaki N, Maiguma A, Obinata K, Okazaki T, Shimizu T. Localized intestinal perforations as a potential complication of brain hypothermic therapy for perinatal asphyxia. J Matern Fetal Neonatal Med. 2016;29(15):2537-9. google scholar
  11. Ghazwani SM, Khan SA, Hakami AYO, Alamer A, Medkhali BA. Perforated Meckel’s Diverticulum and Adhesive Intestinal Obstruction in a Preterm Neonate: A Case Report. Cureus. 2024 Mar 15;16(3):e56208. google scholar
  12. Udelsman B, Lee K, Qadan M, Lillemoe KD, Chang D, Lindvall C, Cooper Z. Management of Pneumoperitoneum: Role and Limits of Nonoperative Treatment. Ann Surg. 2021 Jul 1;274(1):146-154. google scholar