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Peer-reviewedCC BYClinical case reports

Perforated Gangrenous Appendicitis Despite a Normal Leukocyte Count and Nondiagnostic Ultrasonography in a 5‐Year‐Old Child A Case Report

  • Iswor Karki1
  • Sagar Kumar Jha1
  • Shankar Poudel1
  • Sabitra Thapa1
  • Latika Giri2
  • K. C. Ajay3
  1. 1Institute of Medicine Tribhuvan University Teaching Hospital, Tribhuvan University Kathmandu Nepal
  2. 2Department of Surgery Kathmandu University School of Medical Sciences Dhulikhel Nepal
  3. 3Department of Surgery B&C Medical College Teaching Hospital and Research Center Birtamode Nepal
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Abstract

A 5‐year‐old girl with prior patent ductus arteriosus device closure presented with abdominal pain, vomiting, and fever. Despite a normal leukocyte count and nonvisualization of the appendix on ultrasonography, computed tomography identified perforation. Emergency appendectomy confirmed gangrenous appendicitis. This case underscores the importance of serial examination and timely diagnostic imaging.

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Cite

BibTeXRIS
BibTeX
@article{karki2026perforated,
  title = {{Perforated Gangrenous Appendicitis Despite a Normal Leukocyte Count and Nondiagnostic Ultrasonography in a 5‐Year‐Old Child A Case Report}},
  author = {Iswor Karki and Sagar Kumar Jha and Shankar Poudel and Sabitra Thapa and Latika Giri and K. C. Ajay},
  journal = {Clinical case reports},
  year = {2026},
  month = nov,
  doi = {10.1002/ccr3.73849},
  url = {https://europepmc.org/article/PMC/PMC13725592},
  note = {CC BY},
}
RIS
TY  - JOUR
TI  - Perforated Gangrenous Appendicitis Despite a Normal Leukocyte Count and Nondiagnostic Ultrasonography in a 5‐Year‐Old Child A Case Report
AU  - Iswor Karki
AU  - Sagar Kumar Jha
AU  - Shankar Poudel
AU  - Sabitra Thapa
AU  - Latika Giri
AU  - K. C. Ajay
PY  - 2026
DA  - 2026/11/01
JO  - Clinical case reports
DO  - 10.1002/ccr3.73849
UR  - https://europepmc.org/article/PMC/PMC13725592
AB  - A 5‐year‐old girl with prior patent ductus arteriosus device closure presented with abdominal pain, vomiting, and fever. Despite a normal leukocyte count and nonvisualization of the appendix on ultrasonography, computed tomography identified perforation. Emergency appendectomy confirmed gangrenous appendicitis. This case underscores the importance of serial examination and timely diagnostic imaging.
SN  - 2050-0904
ER  -