Hirschsprung’s Disease Presenting as Neonatal Appendicitis
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چکیده
We report a case of a full-term infant girl who presented to us with diarrhea and vomiting for 3 days at the age of 30 days. At presentation, she was dehydrated. The abdomen was unremarkable; hernial sites were normal. WBC at admission was 5000/mm3. Intravenous fluids and antibiotics were started. Three days later, she developed fever (38.10 C), bilious vomiting and bleeding per rectum. Abdomen was still unremarkable. The chest and abdominal radiographs showed no bowel gas and no free air. The diagnosis of high intestinal obstruction due to midgut volvulus was suspected. However, ultrasonography didn’t show any signs of malrotation. The bowel obstruction was thought to result from internal hernia.
منابع مشابه
Neonatal Perforated Appendicitis
Appendicitis is the most common cause of acute surgical abdomen in children and adults but very rare in infants and neonates. Nonspecific clinical features and low index of suspicion make its diagnosis and management challenging which may result in high chances of complications like perforation and peritonitis thus increasing the morbidity and mortality. Appendicular perforation leading to peri...
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