PDF(Pubmed)
Abstract：
Necrotizing enterocolitis (NEC) predominantly affects preterm infants and can mimic other conditions like acute appendicitis. Neonatal appendicitis (NA) is extremely rare, with an incidence of 0.04-0.2% and high fatality rates. Due to its rarity and resemblance to other neonatal conditions, NA diagnosis is often delayed. We report a case of a 2220-g male preterm neonate delivered at 31 + 5 weeks via urgent cesarean section due to chorioamnionitis, initially misdiagnosed with NEC but later found to have a perforated appendix. The neonate recovered well post-surgery, with the ileostomy reversed 10 weeks later. Prompt surgical intervention is crucial for NA, as it requires different management than NEC. This case underscores the importance of considering NA in preterm infants with severe abdominal symptoms and emphasizes timely surgical intervention to improve outcomes. Additionally, it supports the hypothesis that localized NEC involving the appendix may have a better prognosis than generalized NEC.
摘要：
坏死性小肠结肠炎（NEC）主要影响早产儿，并且可以模仿其他疾病，例如急性阑尾炎。新生儿阑尾炎（NA）极为罕见，发病率为0.04-0.2%，死亡率高。由于其罕见且与其他新生儿疾病相似，NA诊断经常延迟。我们报告了一例2220克男性早产新生儿在31+5周时因绒毛膜羊膜炎通过紧急剖宫产分娩，最初误诊为NEC，但后来发现阑尾穿孔。新生儿手术后恢复良好,回肠造口术10周后逆转。及时的手术干预对NA至关重要，因为它需要与NEC不同的管理。该病例强调了在有严重腹部症状的早产儿中考虑NA的重要性，并强调及时进行手术干预以改善预后。此外,它支持以下假设:累及阑尾的局部NEC可能比全身性NEC具有更好的预后.
