Fatal Acute Appendicitis in a Neonate With Congenital Heart Disease

Author:

Dunne Ben123,Brown Kilian G. M.4,Sholler Gary1234,Trivedi Amit45,Smith Grahame46,Winlaw David S.1234

Affiliation:

1. Kids Heart Research, The Children’s Hospital at Westmead, Sydney, Australia

2. The Heart Centre for Children, The Children’s Hospital at Westmead, Sydney, Australia

3. The Sydney Children’s Hospital Network Cardiac Service, Sydney, Australia

4. Sydney Medical School, University of Sydney, Sydney, Australia

5. Grace Centre for Newborn Care, The Children’s Hospital at Westmead, Sydney, Australia

6. The Department of Urology, The Children’s Hospital at Westmead, Sydney, Australia

Abstract

We describe a case of fatal acute appendicitis in a neonate associated with congenital cardiac disease requiring staged surgery. Neonatal appendicitis is extremely rare and usually associated with prematurity and congenital abdominal conditions. This report serves to highlight the risk of this disease due to vascular insufficiency and ischemia in neonates with congenital cardiac disease and highlight the importance of considering this diagnosis in such a neonate with unexplained sepsis even in the absence of clear abdominal signs.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Pediatrics, Perinatology, and Child Health,Surgery

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