Appendiceal perforation: A potentially lethal initial mode of presentation of Hirschsprung's disease

Sarioğlu, A; Tanyel, Feridun Cahit; Büyükpamukçu, Nebìl; Hiçsönmez, Akgün

doi:10.1016/s0022-3468(97)90116-0

Cited by 25 publications

(17 citation statements)

References 8 publications

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“…Therefore, it is crucial to get histological assessment of the resected specimen and if possible it should be supplemented with rectal and colonic biopsies. [1213]…”

Section: Discussionmentioning

confidence: 99%

Beware of neonatal appendicitis

Khan

Menon

Rao

2010

J Indian Assoc Pediatr Surg

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“…Therefore, it is crucial to get histological assessment of the resected specimen and if possible it should be supplemented with rectal and colonic biopsies. [1213]…”

Section: Discussionmentioning

confidence: 99%

Beware of neonatal appendicitis

Khan

Menon

Rao

2010

J Indian Assoc Pediatr Surg

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“…The perforated appendicitis in this age group can be due to Hirschsprung's disease, meconium plug syndrome, cystic fibrosis, necrotizing enterocolitis and gastroenteritis (13). So it is crucial to histological diagnosis and assessment of sample was taken, if it is possible, samples of colon and rectum should be taken (13, 14). …”

Section: Discussionmentioning

confidence: 99%

Perforated Acute Appendicitis in a Pre-Term Neonate

Jahangiri¹,

Hosseinpour²,

Jazayeri³

et al. 2013

Iran Red Crescent Med J

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Acute appendicitis is a common occurrence in childhood, but this diagnosis is considered rarely in differential diagnosis of acute abdomen in the neonatal period because its occurrence is very rare in neonates. We report a 20-day- old afghan female baby that was admitted to neonatal intensive care unit, because of irritability and abdominal distension. Complete ultrasound of abdomen and pelvis was normal. In plain Radiographs of chest and abdomen with the exception of Air-filled stomach and intestine, there was no abnormality. Due to the lack of improvement and severe abdominal distension, she was transmitted to the operating room and Surgical exploration revealed perforated appendix. Appendicitis should be considered in the differential diagnosis for a neonate with abdominal distension and bilious vomiting and needs strong clinical suspicion.

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“…The clinical picture may be very variable: (1) intestinal (ileal) neonatal occlusion, sometimes incomplete with or without spontaneous evacuation of meconium, and clinical signs, such as X-ray, could help to diagnose meconium ileus; (2) neonatal enterocolitis [31,32] could be related to extended HD in the absence of prematurity or severe cardiopathy; (3) acute presentation with appendicular or cecal perforation [33] , and (4) severe constipation in neonates, particularly due to bad tolerance with a major effect on growth.…”

Section: Later Diagnosismentioning

confidence: 99%

Diagnosis of Constipation in Children

Sauvat¹

2007

Ann Nestlé [Engl]

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Constipation is a frequent reason for consulting a pediatrician. As a symptom, constipation can be due to various etiologies in terms of frequency, nature and seriousness. Constipation may be of medical or surgical origin or idiopathic. Surgical etiologies are mainly represented by Hirschsprung’s disease. It is the main differential diagnosis even if it is 50 times less frequent than idiopathic or functional constipation. A thorough history and physical examination, including anal examination, are the best way to reach a diagnosis. No other examination is required in most of the cases and all investigations have to be managed according to clinical considerations.

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Appendiceal perforation: A potentially lethal initial mode of presentation of Hirschsprung's disease

Cited by 25 publications

References 8 publications

Beware of neonatal appendicitis

Beware of neonatal appendicitis

Perforated Acute Appendicitis in a Pre-Term Neonate

Diagnosis of Constipation in Children

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