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Case Reports in Pediatrics
Volume 2014, Article ID 671706, 3 pages
http://dx.doi.org/10.1155/2014/671706
Case Report

A Rare Case of Neonatal Complicated Appendicitis in a Child with Patau’s Syndrome

Pediatric Surgery Unit, Medical and Surgical Sciences Department, University of Foggia, Viale Pinto 1, 71122 Foggia, Italy

Received 20 July 2014; Accepted 26 August 2014; Published 3 September 2014

Academic Editor: Denis A. Cozzi

Copyright © 2014 Valentina Pastore and Fabio Bartoli. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Neonatal appendicitis is a rare condition with high mortality rate. Signs and symptoms are often nonspecific, imaging modalities are not always diagnostic, and preoperative diagnosis is difficult with subsequent delay and complications. Its pathophysiology may be different from appendicitis in older children and comorbidities can be found. We report a case of a female neonate with Patau’s syndrome, intestinal malrotation, and Fallot tetralogy in whom perforated appendix, probably occurring during fetal period due to vascular insufficiency, was found at laparotomy.