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Intra-thoracic appendicitis in a child with Down’s syndrome

      Abstract

      Morgagni congenital diaphragmatic hernias are rare. They are associated with chromosomal anomalies, especially Down’s syndrome. Acute appendicitis is the most common surgical emergency in childhood, but accurate diagnosis can be a challenge if encountered out of the usual anatomical position. This is the first case report of acute appendicitis within a Morgagni hernia in a child with Down’s syndrome.

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      References

        • Cozzi A.
        • Zani D.A.
        Giovanni Battista Morgagni and his contribution to pediatric surgery.
        J Pediatr Surg. 2008; 43: 729-733
        • Stolar C.J.
        Congenital diaphragmatic hernias.
        in: O’ Neill Jr., J.A. Principles of pediatric surgery. Mosby, St Louis, MO2003: 457-463
        • Enns G.M.
        • Cox V.A.
        • Goldstein R.B.
        • et al.
        Congenital diaphragmatic defects and associated syndromes, malformations, and chromosome anomalies: a retrospective study of 60 patients and literature review.
        Am J Med Genet. 1998; 79: 215-225
        • Picard E.
        • Ben Nun A.
        • Fisher D.
        • et al.
        Morgagni hernia mimicking pneumonia in Down syndrome.
        J Pediatr Surg. 2007; 42: 1608-1611
        • Murphy J.
        Two thousand operations for appendicitis, with deductions from his personal experience.
        Am J Med Sci. 1904; 128: 187-211
        • Simpson D.J.
        • Humes J.
        Acute appendicitis.
        BMJ. 2006; 333: 530-534
        • Stanley A.
        • Wilkins Jr., M.D.
        • Lawrence E.
        • et al.
        Acute appendicitis presenting as acute left scrotal pain: diagnostic considerations.
        Urology. 1985; 25: 634-663
        • Alvear D.T.
        • Rayfield M.M.
        Acute appendicitis presenting as a scrotal mass.
        J Pediatr Surg. 1976; 11: 91-92
        • Piperos T.
        • Kalles V.
        • Al Ahwal Y.
        • et al.
        Clinical significance of de Garengeot’s hernia. A case of acute appendicitis and review of the literature.
        Int J Surg Case Reports. 2012; 3: 116-117
        • Zerin J.M.
        Intrathoracic appendicitis in a ten-year-old girl.
        Invest Radiol. 1990; 25: 1162-1164
        • Gurses N.
        • Gurses N.
        Perforating appendicitis within a diaphragmatic hernia: a case report.
        Z Kinderchir. 1986; 41: 306-307
        • Kshirsagar A.Y.
        • Bansal S.S.
        • Somnath S.R.
        • et al.
        Acute appendicitis presenting as chest pain.
        Int J Surg Case Reports. 2012; 3: 128-130
        • Baglaj M.
        Late-presenting congenital diaphragmatic hernia in children: a clinical spectrum.
        Ped Surg Int. 2004; 20: 658-669
        • Baerg J.
        • Kanthimathinathan V.
        • Gollin G.
        Late-presenting congenital diaphragmatic hernia: diagnostic pitfalls and outcomes.
        Hernia. 2012; ([epub ahead of print])
        • Ng C.P.
        • Lo C.B.
        • Chung C.H.
        Congenital diaphragmatic hernia masquerading as pneumonia.
        Emerg Med Australas. 2004; 16: 167-169
        • Honore L.H.
        • Torfs C.P.
        • Curry C.J.
        Possible association between the hernia of Morgagni and trisomy 21.
        Am J Med Genet. 1993; 47: 255-256
        • Al-Salem A.H.
        • Nawaz A.
        • Matta H.
        • et al.
        Herniation through the foramen of Morgagni: early diagnosis and treatment.
        Pediatr Surg Int. 2002; 18: 93-97
        • Jetley N.K.
        • Al-Assiri A.H.
        • Al-Helal A.S.
        • et al.
        Down's syndrome as a factor in the diagnosis, management, and outcome in patients of Morgagni hernia.
        J Pediatr Surg. 2011; 46: 636-639
        • Marin J.
        • Lopoo J.
        An infant with trisomy 21 and tachypnea.
        Pediatr Emerg Care. 2006; 22: 170-172