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Ho-Woon Lee, MD; Kye-Hyon Bang, MD; R. Paul Higgins, Jr, MD; Sing Siong Wang, MD

JAMA. 1986;255(2):233-234.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

APPENDICITIS in infancy is uncommon, difficult to diagnose, and associated with significant morbidity and mortality.¹ Conical configuration of the appendix makes obstruction of the lumen unlikely in this age group.² Because of the inability of the patient to give a coherent history, other symptoms become significant features in diagnosis.³ Mechanical small-bowel obstruction as a presenting symptom complex in acute appendicitis in infancy is rare.

Report of a Case

An 8-month-old male infant was admitted because of persistent vomiting and diarrhea for four days. On preliminary examination, the infant was seen to be drowsy and lethargic, with signs of advanced dehydration. He was afebrile. His neck was supple and his chest was clear. The abdomen was soft, showing no tenderness or organomegaly. The clinical impression on admission was gastroenteritis. Lumbar puncture was performed to rule out meningitis, and intravenous fluids were administered. By next morning, the infant had . . . [Full Text PDF of this Article]

Author Affiliations
From the Departments of Surgery (Drs Lee, Bang, and Higgins) and Pediatrics (Dr Wang), Cortland (NY) Memorial Hospital.

Footnotes
Reprints not available.

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