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Case Report

A Case of Ruptured Acute Appendicitis Presenting as Pneumoperitoneum in Low Birth Weighted Premature Baby

Kyumin Kang, M.D.1, Youngmin Park, M.D.1, Haesoo Koo, M.D.2, Kum-ja Choi, M.D.1
Journal of the Korean Association of Pediatric Surgeons 2012;18(2):83-88.
Published online: December 31, 2012

1Department of Surgery, Ewha Womans University School of Medicine, Seoul, Korea.

2Department of Pathology, Ewha Womans University School of Medicine, Seoul, Korea.

Correspondence: Kum-ja Choi, M.D., Department of Surgery, Ewha Womans University School of Medicine, 911-1 Mok-dong, Yangcheon-gu, Seoul 158-710, Korea. Tel: 02)2650-5554, Fax: 02)2644-7984, kumchoi@ewha.ac.kr
• Received: September 26, 2012   • Accepted: November 15, 2012

Copyright © 2012 Korean Association of Pediatric Surgeons

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  • Acute appendicitis is very rare in premature neonates. Preoperative diagnosis of this condition is difficult, and then it leads to high morbidity and mortality. We report 9-day-old premature male with ruptured acute appendicitis presented with pneumoperitoneum on plain films of the abdomen. Awareness of this rare condition and possible differential diagnosis in this age group is also discussed.
  • Keywords: Premature neonate; Pneumoperitoneum; Ruptured appendicitis
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Fig. 1
Preoperative supine(a) and cross-table lateral(b) abdominal X-ray show distension of bowel loops and free air in the peritoneum.
jkaps-18-83-g001.jpg
Fig. 2
Abdominal exploration shows the appendix completely transected (arrow).
jkaps-18-83-g002.jpg
Fig. 3
Masson's trichrome stain. Histopathologic examination of appendix shows a necrotic tissue and acute inflammatory cell in perforation site.
jkaps-18-83-g003.jpg

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A Case of Ruptured Acute Appendicitis Presenting as Pneumoperitoneum in Low Birth Weighted Premature Baby
J Korean Assoc Pediatr Surg. 2012;18(2):83-88.   Published online December 31, 2012
DOI: https://doi.org/10.0000/jkaps.2012.18.2.83
Download Citation

Download a citation file in RIS format that can be imported by all major citation management software, including EndNote, ProCite, RefWorks, and Reference Manager.
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Include:
A Case of Ruptured Acute Appendicitis Presenting as Pneumoperitoneum in Low Birth Weighted Premature Baby
J Korean Assoc Pediatr Surg. 2012;18(2):83-88.   Published online December 31, 2012
DOI: https://doi.org/10.0000/jkaps.2012.18.2.83
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A Case of Ruptured Acute Appendicitis Presenting as Pneumoperitoneum in Low Birth Weighted Premature Baby
Image Image Image
Fig. 1 Preoperative supine(a) and cross-table lateral(b) abdominal X-ray show distension of bowel loops and free air in the peritoneum.
Fig. 2 Abdominal exploration shows the appendix completely transected (arrow).
Fig. 3 Masson's trichrome stain. Histopathologic examination of appendix shows a necrotic tissue and acute inflammatory cell in perforation site.

Fig. 1

Fig. 2

Fig. 3

A Case of Ruptured Acute Appendicitis Presenting as Pneumoperitoneum in Low Birth Weighted Premature Baby
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