PMC9428639_01
Ultrasonography on third day of admission showing an inflammatory mass
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Ultrasound scan of the abdomen showed an inflammatory mass in the right side of the abdomen, pneumatized segment of the bowel, with collapsed small intestines on the right side compared to the left side (Figure 1).
Ultrasonography on fourth day of admission showing oedemic pneumatized bowel
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Condition remained stable until the 6th day of admission when the newborn became febrile, passed no stools, the ultrasound scan of the abdomen showed fluctuation, oedemic pneumatized bowel walls (Figure 2) while abdominal X-rays remained unremarkable (Figure 3).
X-ray before operation showing no signs of perforation
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Condition remained stable until the 6th day of admission when the newborn became febrile, passed no stools, the ultrasound scan of the abdomen showed fluctuation, oedemic pneumatized bowel walls (Figure 2) while abdominal X-rays remained unremarkable (Figure 3).
Histology of the surgical specimen
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Histopathological report confirmed acute gangrenous appendicitis with perforation and localized peritonitis and excluded Hirschsprung's disease (Figure 4, 5).
Appendiceal wall necrosis and infiltration
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Histopathological report confirmed acute gangrenous appendicitis with perforation and localized peritonitis and excluded Hirschsprung's disease (Figure 4, 5).