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PRENATAL APPENDICITIS WITH RUPTURE AND DEATH

WALTER B. HILL, M.D.; CLEON C. MASON, M.D.
Am J Dis Child. 1925;29(1):86-87. doi:10.1001/archpedi.1925.04120250089009.
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The following case of appendicitis in a new-born infant is reported.

REPORT OF CASE  L., a girl, was the first born of twins. Labor occurred about three weeks before the calculated date of confinement. The child weighed 5 pounds 7 ounces (2,465 gm.); the twin, a boy, weighed 6 pounds 14 ounces (3,123 gm.). There was nothing abnormal about the pregnancy or delivery. The mother, aged 34, had always been in good health and had had four other children, all living and well.On delivery, the child's abdomen was markedly distended, otherwise nothing abnormal was noted on careful physical examination. During the first day the child took sugar water and small amounts of a milk mixture but vomited practically all taken. The temperature remained normal; meconium was passed freely. The vomiting persisted.During the second day the distension became more extreme; the use of enemas and the rectal tube did

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