{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T03:11:05Z","timestamp":1767237065313,"version":"3.37.3"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Geburtshilfe Neonatol"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction Neonatal appendicitis is a very rare surgical entity.\n                    Non-specific symptoms such as feeding intolerance, abdominal distension,\n                    vomiting, increased gastric residue, lethargy, and fever may be present. The\n                    majority of reported cases could not be identified early. In this report, we\n                    present an extremely low-birth-weight preterm neonate who has been diagnosed\n                    with appendicitis.<\/jats:p><jats:p>\n          Case Presentation A 980-gram preterm baby girl was born at 31 1\/7\n                    weeks of gestation. The physical examination was normal at birth. Her initial\n                    clinical course was uneventful. On the 7th day of life, she developed\n                    abdominal distention and tenderness. She had an episode of bloody stools and\n                    bilious vomiting. An abdominal X-ray suggested localized perforation in the\n                    cecum with an air-fluid level in the right lower quadrant. The clinical findings\n                    suggested necrotizing enterocolitis and perforation, and a diagnostic laparotomy\n                    was performed. The bowel was found to be normal with a necrotic appendix. The\n                    appendectomy was performed. She was discharged from the neonatal intensive care\n                    unit with no complications.<\/jats:p><jats:p>\n          Conclusion Appendicitis is extremely rare in the neonatal period. It is\n                    quite challenging to evaluate the presentation accurately, which causes a delay\n                    in diagnosis. However, if an atypical NEC or peritonitis is present,\n                    appendicitis should be considered. Early diagnosis and timely surgical\n                    intervention improve the prognosis of neonatal appendicitis.<\/jats:p>","DOI":"10.1055\/a-2044-0889","type":"journal-article","created":{"date-parts":[[2023,5,24]],"date-time":"2023-05-24T23:05:37Z","timestamp":1684969537000},"page":"307-309","source":"Crossref","is-referenced-by-count":2,"title":["Acute Abdomen in an Extremely Low-Birth-Weight Preterm Neonate: A\n                    Case of Appendicitis"],"prefix":"10.1055","volume":"227","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4580-3128","authenticated-orcid":false,"given":"Yasemin Ezgi","family":"Kostekci","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Neonatology, Ankara University\n                    Faculty of Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Buse Onen","family":"Ocak","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Ankara University Faculty of Medicine,\n                    Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ege","family":"Ekiyor","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Ankara University Faculty of Medicine,\n                    Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kader","family":"Gucenmez","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Ankara University Faculty of Medicine,\n                    Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ferhan","family":"Demirtas","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Neonatology, Ankara University\n                    Faculty of Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ergun","family":"Ergun","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Ankara University Faculty of Medicine,\n                    Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aysel","family":"Mehdilli","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Ankara University Faculty of Medicine,\n                    Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gulnur Gollu","family":"Bahadir","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery, Ankara University Faculty of Medicine,\n                    Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emel","family":"Okulu","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Neonatology, Ankara University\n                    Faculty of Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"\u00d6mer","family":"Erdeve","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Neonatology, Ankara University\n                    Faculty of Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saadet","family":"Arsan","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Neonatology, Ankara University\n                    Faculty of Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Begum","family":"Atasay","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Division of Neonatology, Ankara University\n                    Faculty of Medicine, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,5,24]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"67","DOI":"10.4103\/0971-9261.70646","article-title":"Beware of neonatal appendicitis","volume":"15","author":"R A Khan","year":"2010","journal-title":"J Indian Assoc Pediatr 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