Another example of neonatal appendicitis is presented, and the clinical details of 33 cases previously documented in the literature are reviewed. This rare condition is characterized by an inordinate delay in diagnosis, a high incidence of perforation of the appendix and a high mortality.
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Neonatal perforated appendicitis. Case report.
Int J Surg Case Rep
January 2025
Department of Pediatric Surgery, National Institute of Pediatrics, Av. Insurgentes Sur No. 3700-C, 04530 Mexico City, Mexico. Electronic address:
Introduction And Importance: Neonatal appendicitis is a rare condition with high morbidity and mortality due to its late diagnosis in favor of more common pathologies. There are few reported cases of neonatal appendicitis and even fewer of antenatal appendicitis.
Case Presentation: We report a neonate presenting with abdominal distention and gastric emesis in the setting of a suspected congenital abdominal mass, later diagnosed with neonatal appendicitis requiring intestinal resection and anastomosis.
The risk of preterm delivery after appendectomy during pregnancy is higher in the face of a negative appendectomy.
Am J Surg
February 2025
Department of Obstetrics and Gynecology, Lis Maternity and Women's Hospital, Sourasky Medical Center, Faculty of Medicine Tel Aviv University, Weizmann 6 Street Tel Aviv, Israel. Electronic address:
Article Synopsis
- This study examined the outcomes of 185 pregnant women who had appendectomies, comparing them to 555 who did not undergo surgery, focusing on clinical, obstetrical, and neonatal results from 2005 to 2022.
- The majority of the appendectomies were laparoscopic, with 76.2% of cases showing an inflamed appendix; however, preterm delivery was significantly higher in the appendectomy group (11.9%) compared to the control group (5.4%).
- The analysis indicated that having an appendectomy, especially if it was a negative appendectomy, was a significant risk factor for preterm birth, highlighting the need for careful
Identifying opportunities to reduce imaging overuse in hospitalized children.
J Hosp Med
December 2024
Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.
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- Radiologic imaging is often used in children's hospitals to assist with diagnoses, but variations in how it's performed can lead to unnecessary costs and risks.
- A study analyzed inpatient pediatric conditions across 50 hospitals from 2017 to 2019, focusing on those with high imaging prevalence and costs, and found that conditions like pectus excavatum and scoliosis had the highest imaging rates.
- The findings indicated significant variations in imaging-related costs among hospitals, highlighting the need for improved guidelines to reduce overuse and improve care in pediatric imaging.
The burden of adhesive bowel obstruction requiring surgery in children: a single-center retrospective review.
Pediatr Surg Int
November 2024
Department of Pediatric Surgery, Olgahospital, Klinikum Stuttgart, Kriegsbergstraße 62, 70174, Stuttgart, Germany.
Purpose: Investigate causes, predictors, and complications of adhesive bowel obstruction (ABO) necessitating surgery in children.
Methods: Single-center retrospective review of operative cases classified as 'adhesive bowel obstruction ' between May 2014 and December 2023. Parameters assessed included previous surgeries, operative time (indicative of adhesion extent), length of stay and postoperative complications.
Ultrasonographic characteristics of neonatal appendicitis: a case series.
BMC Pediatr
November 2024
General Surgery Department, Children's Hospital of Soochow University, NO.92, Zhongnan Road, Soochow, 215025, Jiangsu, China.
Background: Neonatal appendicitis is a rare but critical condition that presents diagnostic challenges due to its nonspecific symptoms and clinical manifestations. Early and accurate diagnosis is crucial for reducing the high mortality rates associated with this condition. Abdominal ultrasonography plays a pivotal role in identifying characteristic signs of appendicitis in neonates.
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