Appendicular perforation in a neonate: a case report

Abstract

Appendicitis and the consequent appendicular perforation are mostly rare in neonates. It is more common in premature babies though. Presentation therefore may mimic necrotizing enterocolitis although this is usually not so severe. We report a case of appendicular perforation in a term neonate who presented as peritonitis. Diagnosis was made after the exploration. Patient did well after surgery. Although rare, appendicular pathology should be entertained in any case of peritonitis even though the presentation is not the same as in older children due to various anatomical reasons. Primary treatment is surgery.