{"title":"A narrative review on the practice of genital mutilation among Arab adolescent females and a case report on a large clitoral epidermal inclusion cyst.","authors":"Ayman H Shaamash, Mamdoh A Eskandar","doi":"10.1016/j.ijscr.2024.110752","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110752","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Female circumcision, also known as female genital mutilation/cutting (FGM/C), is a common practice in many Arab countries, including Egypt. One potential complication of FGM/C is the development of a clitoral epidermal inclusion cyst, which occurs when keratinized epithelial cells and sebaceous glands become incorporated into the circumcision scar line in the clitoral or labial area. The objective of this study is to present a rare case of a large clitoral epidermal inclusion cyst following FGM/C and to review the current practice of FGM/C in the Arab world, including Egypt, Sudan, and Saudi Arabia. A retrospective review of medical records for a single rare case and a literature search on PubMed were conducted to gather information on FGM/C in Egypt and the Arab region.</p><p><strong>Case presentation: </strong>A newly married 19-year-old Egyptian adolescent female presented with a large (∼5 × 5 cm) painless clitoral swelling, 11 years after undergoing FGM/C. A complete history, perineal examination, and ultrasonography suggested a clitoral swelling, with the top differential diagnosis being an \"epidermal inclusion cyst\". During surgery, a cystic swelling was dissected and enucleated with the capsule intact.</p><p><strong>Clinical discussion: </strong>Histopathology of the specimen confirmed the presence of an epidermal inclusion cyst, most likely related to the previous FGM/C during her childhood. Clitoral epidermal inclusion cysts can arise many years after FGM/C.</p><p><strong>Conclusion: </strong>Surgical intervention is successful in treating this rare and longterm post-circumcision complication. The practice of FGM/C remains prevalent among adolescent females in Egypt and many other Arab countries.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"126 ","pages":"110752"},"PeriodicalIF":0.6,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
H Massegur, A Carrera, J R Gras-Cabrerizo, R S Tubbs, F Reina
{"title":"Endoscopic Vidian neurectomy for treating postcoital unilateral hydrorhinorrhea: A case report and literature review.","authors":"H Massegur, A Carrera, J R Gras-Cabrerizo, R S Tubbs, F Reina","doi":"10.1016/j.ijscr.2024.110749","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110749","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Hydrorhinorrhea in response to sexual intercourse and orgasm (honeymoon rhinitis) is an underreported clinical presentation producing physical and behavior discomfort. Vidian neurectomy has been proposed for treating this condition when pharmacological treatment fails.</p><p><strong>Case presentation: </strong>We present a case of honeymoon rhinitis consisting of a 48 years-old male patient with left unilateral nasal discharge mainly present during sexual intercourse and orgasm. Exploratory nasal endoscopy, CT and MRI were normal. Beta-trace test and all allergy tests were negative. The response to antihistamines and corticosteroids had been negative. A Vidian endoscopic neurectomy was carried out.</p><p><strong>Clinical discussion: </strong>Using Vidian neurectomy, a complete sympathetic-parasympathetic denervation of the nasal mucosa was achieved. After a follow-up of 15 days, the patient stated that his symptoms had improved. Nasal obstruction, sneezing, and rhinorrhea had decreased without showing symptoms either in the morning or during sexual intercourse. After two years of follow-up, the symptoms were still resolved without any complaints related to his preoperative \"honeymoon rhinitis.\" Anatomical structural relationships between the activation of the autonomic nervous system in the pelvic region and the stimulation of sympathetic-parasympathetic neurons in the nasal mucosa is unknown. However, the use of Vidian neurectomy for treating these cases reveals they may be mediated by a possible disbalance of the autonomic activity.</p><p><strong>Conclusion: </strong>This case report gives background on the autonomic innervation of the nasal mucosa and how its imbalance causes a clinical condition that we suggest it could be solved by the Vidian neurectomy when other therapeutic measures fail.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"126 ","pages":"110749"},"PeriodicalIF":0.6,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Taha Yassine Ayadi, Amel Changuel, Hager Behi, Nabil Haloui, Karima Tlili, Med Bachir Khalifa
{"title":"Ectopic pancreatic tissue in the gallbladder: A rare incidental finding in a cholecystectomy specimen - A case report.","authors":"Taha Yassine Ayadi, Amel Changuel, Hager Behi, Nabil Haloui, Karima Tlili, Med Bachir Khalifa","doi":"10.1016/j.ijscr.2024.110741","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110741","url":null,"abstract":"<p><strong>Introduction: </strong>Ectopic pancreatic tissue (EPT) is a rare congenital anomaly characterized by the presence of pancreatic tissue in an abnormal location, separate from the pancreas, without any anatomical or vascular connection to it. This anomaly is often an incidental finding during operation or autopsy. This peculiarity poses clinical and radiological challenges for surgeons, particularly during laparoscopic or open procedures.</p><p><strong>Case report: </strong>This article presents a compelling case of EPT, discovered incidentally during a planned laparoscopic cholecystectomy. The patient, a 50-year-old male with a history of biliary colic, underwent a meticulous laparoscopy exploration revealing an undistended gallbladder with an unexpected yellowish tissue fragment resembling pancreatic parenchyma.</p><p><strong>Clinical discussion: </strong>EPT has an incidence ranging from 0.55 % to 13.7 % in autopsy studies. While the origins of EPT remain unclear, theories regarding the embryonic separation of pancreatic tissue offer insights into its origins and displacement from the original site. Macroscopically, EPT may present as polypoid lesions or yellow nodules and is typically asymptomatic. The various attachment locations and potential manifestations in other intra-abdominal sites add complexity to its diagnosis. Imaging techniques are often ineffective, making histopathological examination essential for diagnosis.</p><p><strong>Conclusion: </strong>Diagnosing EPT in the gallbladder before and during surgery often presents significant challenges. Pathologists should be aware of this rare incidental finding, as it can mimic a tumor and lead to an overdiagnosis of malignancy. Only a precise histopathologic examination can provide a definite diagnosis and distinguish it from malignancies. Laparoscopic cholecystectomy is sufficing treatment.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"126 ","pages":"110741"},"PeriodicalIF":0.6,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lobulu Vincent Mesarieki, Godwin Silas Macheku, Geofrey Oscary Kayombo, Benard Laurent Minga, Adnan Sadiq, Alex Mremi
{"title":"A giant ovarian atypical proliferative mucinous tumor in a young adult: A rare case report and review of the literature.","authors":"Lobulu Vincent Mesarieki, Godwin Silas Macheku, Geofrey Oscary Kayombo, Benard Laurent Minga, Adnan Sadiq, Alex Mremi","doi":"10.1016/j.ijscr.2024.110753","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110753","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Ovarian atypical proliferative mucinous tumor (APMT) is a low-malignant or borderline tumor that originates from the ovary's surface epithelium. This tumor can grow to a massive size, causing abdominal distention, which can result in a variety of compression symptoms if it is not discovered early.</p><p><strong>Case presentation: </strong>A 23-year-old female presented with a chronic, gradually developing abdominal distention that had been persistent for a year. A large peritoneal cyst was suggested by an abdominal CT scan. A massive left ovarian tumor was discovered during an exploratory laparotomy. Salpingo-oophorectomy was performed, and the pathology report confirmed the diagnosis of APMT. No recurrence has been observed during a year of follow-up.</p><p><strong>Clinical discussion: </strong>Diagnosis of ovarian APMBT involves clinical assessment, history, and symptoms of the patient. Imaging studies are useful in identifying these lesions. Ultrasound demonstrates a large, unilocular or multilocular cystic mass with thin septations. Further characterization requires an MRI or CT scan. Serum tumor markers such as CEA, CA-125, and β-hCG are helpful in diagnosing these lesions. The definitive diagnosis requires histopathological examination. Unilateral salpingo-oophorectomy is the mainstay of treatment. Adjuvant therapy is not required. Lifelong follow-up is essential, especially for fertility-sparing surgeries due to recurrence risk.</p><p><strong>Conclusion: </strong>Due to the substantial overlap of clinicopathological characteristics with other tumors, accurate diagnosis of APMT can be difficult. Large tumor sizes may cause alarm for other pathologies such as cancer. The attending physician should be reassured with the imaging examinations, and the diagnosis is confirmed by the histopathology examination.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"126 ","pages":"110753"},"PeriodicalIF":0.6,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865742","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Case report: Splenic infarction secondary to asymptomatic atrial fibrillation, necessitating splenectomy.","authors":"Peihe Yu, Junchao Hu, Lan Deng, Hua Luo, Pei Yang, Xintao Zeng","doi":"10.1016/j.ijscr.2024.110756","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110756","url":null,"abstract":"<p><strong>Introduction: </strong>Splenic infarction caused by thrombi rarely causes abdominal pain in acute abdomen patients. This report describes a case of splenic infarction caused by thrombus detachment due to paroxysmal atrial fibrillation, which was successfully treated and discharged from the hospital.</p><p><strong>Case presentation: </strong>A 52-year-old woman walked into the emergency room with left upper abdominal pain, nausea, and vomiting 12 h prior. Abdominal examination revealed tenderness in the left upper abdomen, with no palpable mass, rebound tenderness, or guard stiffness. Initial treatment included fasting and analgesia, as well as relevant auxiliary examinations. Intravenous contrast computed tomography (CT) revealed splenic branch artery obstruction with a large splenic infarction, and further examination with 24-h dynamic electrocardiogram monitoring revealed rapid atrial fibrillation. Five days after admission, because there was no significant improvement in her abdominal pain after fasting, fluid replacement, analgesia, etc., she was finally given a laparotomy with total splenectomy.</p><p><strong>Discussion: </strong>In general, most surgeons do not advocate surgical intervention for splenic infarction, as infarction can lead to autologous splenectomy, and the spleen gradually becomes fibrotic, atrophies, and eventually disappears. However, for patients whose atrial fibrillation episodes continue to increase and whose conservative treatment is still ineffective, surgery provides a more favorable treatment method.</p><p><strong>Conclusion: </strong>This case report highlights that in patients with splenic infarction due to cardiac thrombosis and unrelieved abdominal pain, splenectomy can be considered if cardiac function is stable and tolerable and if the ASA anesthetic is below class V.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"126 ","pages":"110756"},"PeriodicalIF":0.6,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ayham Qatza, Moumina Baroudi, Abdullah Dukhan, Ahmed Sheikh Sobeh, Nabeha Alibrahim, Saleh Takkem
{"title":"A clinical perspective on surgical and diagnostic strategies for neonatal partial shone complex: Insights from a case report.","authors":"Ayham Qatza, Moumina Baroudi, Abdullah Dukhan, Ahmed Sheikh Sobeh, Nabeha Alibrahim, Saleh Takkem","doi":"10.1016/j.ijscr.2024.110754","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110754","url":null,"abstract":"<p><strong>Introduction and clinical importance: </strong>Shone complex (SC) is a rare multilevel congenital heart disease (CHD) characterized by four left-sided heart obstructive lesions: parachute mitral valve, supravalvular mitral ring, subaortic stenosis, and coarctation of the aorta (CoA), accounting for 0.6-0.7 % of CHD cases.</p><p><strong>Case presentation: </strong>A 4-week-old male neonate presented with severe respiratory distress, tachycardia (150 beats/min), tachypnea (40/min), and hypoxia (80 % saturation). Blood pressure was 90/55 mmHg in the upper arms; lower extremity measurements were challenging. ECG showed a heart rate of 150 beats/min, normal sinus rhythm, left axis deviation, and left ventricular (LV) hypertrophy. Transthoracic echocardiography revealed mild concentric LV hypertrophy and reduced ejection fraction (45 %). A supramitral ring led to severe supravalvular mitral stenosis, and a bicuspid aortic valve caused moderate aortic stenosis. Suprasternal views confirmed severe CoA distal to the left subclavian artery. The patient underwent successful CoA repair at five months, with ongoing surveillance for other defects. One year later, he remained stable with no significant pressure gradient changes.</p><p><strong>Clinical discussion: </strong>SC presents significant clinical challenge due to its associated congenital anomalies. Early echocardiographic diagnosis and timely surgical intervention are essential for optimizing patient outcomes, given the variability in severity and the potential for complications. Multidisciplinary management is crucial for addressing the complexities of this condition.</p><p><strong>Conclusion: </strong>This case illustrates effective staged surgical management of partial SC, emphasizing early diagnosis and the utility of point-of-care ultrasound.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"126 ","pages":"110754"},"PeriodicalIF":0.6,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Abraham Molla Getu, Amsalu Molla Getahun, Addisu Assfaw Ayen, Mulugeta Ashagrie Bekahegne, Atalel Fentahun Awedew
{"title":"Giant duodenal perforation: A rare malaria complication in a child; a case report and review of literature.","authors":"Abraham Molla Getu, Amsalu Molla Getahun, Addisu Assfaw Ayen, Mulugeta Ashagrie Bekahegne, Atalel Fentahun Awedew","doi":"10.1016/j.ijscr.2024.110755","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110755","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Duodenal perforation, while uncommon, is a serious cause of acute abdomen in children. The causes of acute abdomen in children vary widely based on factors like geography and socioeconomic status. In developing countries, where infectious diseases are more prevalent, malaria can contribute to this condition.</p><p><strong>Case presentation: </strong>A 4-year-old boy from a malaria-endemic area presented with fever, vomiting, and prostration. Investigations revealed Plasmodium falciparum malaria. After initiating antimalarial treatment, he developed acute abdominal pain and was found to have a duodenal perforation. Emergency surgery was performed, and the perforation was repaired.</p><p><strong>Clinical discussion: </strong>Duodenal perforation in children, though rare, is a potentially life-threatening complication that can occur in the context of severe malaria. Prompt surgical management, typically involving omental patch repair of the perforation and treatment of the underlying malaria infection, is crucial for successful outcomes.</p><p><strong>Conclusion: </strong>Duodenal perforation in children following sever malaria attack is the rare which need urgent surgical and medical management.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"126 ","pages":"110755"},"PeriodicalIF":0.6,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865749","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mehdi Lekehal, Asma Jdar, Hajar El Bhali, Salim Lahlou, Tarik Bakkali, Ayoub Bounssir
{"title":"Carotid stenosis complicating a vagus paraganglioma: A dually rare case.","authors":"Mehdi Lekehal, Asma Jdar, Hajar El Bhali, Salim Lahlou, Tarik Bakkali, Ayoub Bounssir","doi":"10.1016/j.ijscr.2024.110751","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110751","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Cervical paragangliomas of the vagus nerve are tumors, of wich the nature and location make them extremely rare, representing only 0.012 % of cervical tumors.</p><p><strong>Case presentation: </strong>This article reports the case of a 64 year old patient, consulting for a latero-cervical mass associated with dysphonia, dysphagia, and repeated vagal syncopes, evolving for 10 months. The patient underwent surgical resection of the tumor and the carotid artery, with reconstruction by common carotid to internal carotid Polytetrafluoroethylene (PTFE) graft bypass. The patient recovered with no major postoperative complication.</p><p><strong>Clinical discussion: </strong>Cervical paragangliomas of the vagus nerve present clinically as a slow-growing latero-cervical mass that damages the cranial pairs, manifesting by dysphonia, dysphagia, vagal syncope and hypertensive peaks. Imaging is a major step in the diagnosis, allowing better planning of the surgical procedure. Magnetic Resonance Imaging (MRI) is considered to be the benchmark imaging for the characterization of the tumor, but Computerised Tomography (CT) Scan, CT angiography and Doppler ultrasonography of Supra-aortic trunks keep an important place in the search of associated vascular lesions. Surgery remains the only curative treatment, but it faces many obstacles, including the difficulty of dissection of the cranial pairs and adjacent vascular structures (especially the carotid artery). The postoperative morbidity is heavy with difficult recovery. The place of radiotherapy is controversial.</p><p><strong>Conclusion: </strong>Paragangliomas of the vagus in the cervical region are rare tumors, of which the localization is even rarer. Surgical excision remains the only curative treatment. Palliative radiotherapy may be considered for some patients.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"126 ","pages":"110751"},"PeriodicalIF":0.6,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142872993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Herijaona Manasse Rakotoherisoa, Thomas Daoulas, Manitr'Oliva Iarimanalina Ranaivoson, Marie Fernandez, Aadel Hamdadou, Nacer Debit
{"title":"Posterior thigh compartment syndrome secondary to proximal hamstring avulsion.","authors":"Herijaona Manasse Rakotoherisoa, Thomas Daoulas, Manitr'Oliva Iarimanalina Ranaivoson, Marie Fernandez, Aadel Hamdadou, Nacer Debit","doi":"10.1016/j.ijscr.2024.110747","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110747","url":null,"abstract":"<p><strong>Introduction: </strong>Thigh compartment syndrome is a rare clinical entity that requires urgent medical and surgical management due to its potentially severe medical and legal consequences. Although it typically affects a classic patient demographic-most often a young adult following a traffic accident.</p><p><strong>Presentation of case: </strong>This case is unique in that it stems from a compressive hematoma secondary to an avulsion of the proximal hamstring tendon.</p><p><strong>Discussion: </strong>Thigh compartment syndrome can be challenging to diagnose due to its sometimes-misleading clinical presentation. Hamstring rupture is a very rare etiology and may lead to a delay in diagnosis and management, which can have serious consequences.</p><p><strong>Conclusion: </strong>We report a rare case of thigh compartment syndrome secondary to hamstring rupture.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"126 ","pages":"110747"},"PeriodicalIF":0.6,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Diego Herrera Ojeda, Esperanza Vidales-Nieto, Antonio Medina Vega, Victoria Damián Cuellar, Horacio G Carvajal, Arturo Javier Cavazos Castro
{"title":"Neonatal perforated appendicitis. Case report.","authors":"Diego Herrera Ojeda, Esperanza Vidales-Nieto, Antonio Medina Vega, Victoria Damián Cuellar, Horacio G Carvajal, Arturo Javier Cavazos Castro","doi":"10.1016/j.ijscr.2024.110748","DOIUrl":"https://doi.org/10.1016/j.ijscr.2024.110748","url":null,"abstract":"<p><strong>Introduction and importance: </strong>Neonatal appendicitis is a rare condition with high morbidity and mortality due to its late diagnosis in favor of more common pathologies. There are few reported cases of neonatal appendicitis and even fewer of antenatal appendicitis.</p><p><strong>Case presentation: </strong>We report a neonate presenting with abdominal distention and gastric emesis in the setting of a suspected congenital abdominal mass, later diagnosed with neonatal appendicitis requiring intestinal resection and anastomosis.</p><p><strong>Clinical discussion: </strong>Neonatal appendicitis presents with nonspecific symptoms and may often be mistaken for enterocolitis or intestinal malrotation. Additional imaging, including abdominal radiographs, ultrasound, or computed tomography, may facilitate diagnosis.</p><p><strong>Conclusion: </strong>Neonatal appendicitis is a rare entity with a challenging diagnosis due to the lack of specific signs. In the current case, the patient was referred to our institution with an antenatal ultrasound showing a right flank mass which resulted in abscess formation and perforated appendicitis.</p>","PeriodicalId":48113,"journal":{"name":"International Journal of Surgery Case Reports","volume":"126 ","pages":"110748"},"PeriodicalIF":0.6,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}