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Year : 2012  |  Volume : 9  |  Issue : 2  |  Page : 148-151

Appendicitis in a 14-month-old infant with respiratory symptoms

Department of Pediatric Surgery, FONDAZIONE IRCCS CA' GRANDA - Ospedale Maggiore Policlinico, Milano, Italy

Correspondence Address:
Giulia Brisighelli
Department of Pediatric Surgery, Padiglione Alfieri, Policlinico di Milano, Via F. Sforza 28, 20122
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0189-6725.99403

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Although appendicitis is the condition that most commonly requires emergent abdominal surgery in the paediatric population, less than 2% of the disease occurs in infants and it is even more uncommon in neonates. In this report, we describe a rare case of a 14-month-old child presenting with abdominal pain first diagnosed with upper respiratory tract infection and then admitted to our Paediatric Surgery Department with a final diagnosis of acute appendicitis. A particular attention has to be kept on children presenting with an upper respiratory tract infection since symptoms can mask abdominal signs. Due to high morbidity and mortality rate related to a delayed diagnosis, appendicitis always has to be considered as a possible diagnosis, in order to ensure a prompt treatment.

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