Perforated appendicitis with massive intraperitoneal free air in a two month old baby

ABSTRACT

Peritonitis due to perforated appendix in infant is an uncommon condition which is not suspected preoperatively. A two month old male baby presented with bilious vomiting and huge abdominal distension. Signs of peritonitis were present on clinical examination. Xray abdomen showed massive intraperitoneal free air. At laparotomy perforated appendix was found. Appendectomy was done. Postoperative course was uneventful