Necrotising enterocolitis - a cause for neonatal perforated appendicitis

A report of an 11 day old full term neonate with a perforated appendix caused by necrotizing enterocolitis is presented with a discussion of the current literature. Appendicitis and NEC remain rare entities in term neonates. However in the term baby presenting with signs suggestive of NEC, the possibility of appendicitis requiring laparotomy must be considered.