1. Appendicular Perforation in a Neonate Masquerading as Testicular Torsion.
- Author
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Mathew NG, Abiramalatha T, Singh H, and Santhanam S
- Subjects
- Diagnosis, Differential, Humans, Infant, Newborn, Male, Spermatic Cord Torsion, Appendicitis diagnosis, Infant, Newborn, Diseases diagnosis
- Abstract
Background: Neonatal appendicitis is difficult to diagnose, and is associated with high mortality., Case Characteristics: A preterm (33 wk) neonate developed abdominal distension feeding intolerance and erythema of left inguinal region on day 4 of life., Observation: Testicular torsion was suspected but inguinal exploration revealed normal testis with feco-purulent fluid draining into processus vaginalis from peritoneal cavity. Laparotomy revealed inflamed and perforated appendix. Appendectomy and intravenous antibiotics led to a recovery., Message: Appendicitis in a neonate can rarely present with inguinal symptoms, masquerading as testicular torsion.
- Published
- 2015
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