Abstract
The adrenal abscess is a rare complication of adrenal hemorrhage in the neonatal period. Due to its rare occurrence and non-specific signs, diagnosing and treating an adrenal abscess in the neonatal period might be challenging. We present herein a 3-week-old male neonate with an adrenal abscess associated with Escherichia coli sepsis, which was successfully treated by open surgery (using the minimal posterior lumbar approach) following an unsuccessful ultrasound-guided percutaneous drainage. • A neonatal adrenal gland abscess is a rare pathology. • Male neonate with the right adrenal abscess as a complication of Escherichia coli sepsis is presented. • The abscess was successfully treated by surgery after two unsuccessful attempts of percutaneous drainage.
Highlights
A neonatal adrenal gland abscess is a rare pathology, with some 50 cases reported in the literature so far [1]
We present a 3-week-old preterm male neonate with an adrenal abscess as a complication of Escherichia coli sepsis
At six months follow-up, the child was doing well with no clinical signs or symptoms of adrenal insufficiency. This case highlights the importance of the adequate management of the neonatal adrenal abscess
Summary
A neonatal adrenal gland abscess is a rare pathology, with some 50 cases reported in the literature so far [1]. It is rarely included in the differential diagnosis of an adrenal mass. Adrenal abscesses may develop due to a hematogenic spread of bacteria to “normal” adrenal glands, which is observed in neonates with sepsis [2]. Ultrasound-guided percutaneous drainage is the effective therapeutic approach in most cases, definitive surgery drainage is sometimes indicated [3]. The abscess was successfully treated by surgery drainage combined with the antibiotics following repeated ultrasound-guided percutaneous drainage
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