Adrenal abscess: Complication of supportive therapy of adrenal hemorrhage in the newborn

Rajani, Krishna; Shapiro, Stephen R.; Goetzman, Boyd W.

doi:10.1016/s0022-3468(80)80526-4

Cited by 15 publications

(8 citation statements)

References 13 publications

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“…[3] The mainstay of treatment, especially for large lesions or where differentiation from a malignant lesion is difficult is surgical drainage with or without excision. [67] In concordance with other case reports we would like to point out that percutaneous drainage under ultrasonography guidance of bilateral suprarenal abscess has good response. Ultrasonography, CT scan, and magnetic resonance imaging are essential diagnostic aids.…”

Section: Discussionsupporting

confidence: 87%

“…[6] It is likely that most adrenal abscesses begin with adrenal hemorrhage that is not infrequently associated with traumatic or difficult delivery, hypoxia, sepsis, and coagulopathy. [457] In most reported cases, bacterial examination of abscess material revealed E. coil ,[368] or Staph aureus [7] but Streptococcus, Bacteriodes, Echovirus, and Herpes simplex could also be isolated. [34910] Our patient, bacteriological studies was negative.…”

Section: Discussionmentioning

confidence: 99%

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Nonsurgical management of bilateral adrenal abscess in newborn with therapeutic aspiration under ultrasonographic guidance

2012

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Section: Discussionsupporting

confidence: 87%

Section: Discussionmentioning

confidence: 99%

Nonsurgical management of bilateral adrenal abscess in newborn with therapeutic aspiration under ultrasonographic guidance

2012

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“…Several weeks after the adrenal hemorrhage, abdominal ra diography will reveal a rim of calcification outlining the adrenal hematoma. In the pres ence of complications (abscess, persistent hy pertension, persistent bleeding), surgical ex ploration may be indicated [26,27],…”

Section: Cystic Massesmentioning

confidence: 99%

Renal Masses in the Neonate

Pinto¹,

Guignard²

1995

Neonatology

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Abdominal masses are frequent in newborn infants, two thirds being renal in origin. After thorough palpation of the abdomen, cystic masses must be differentiated from solid masses by ultrasound examination. The common benign cystic masses include hydronephrosis, multicystic dysplasia, polycystic disease, and adrenal hemorrhage. Solid masses include renal vein thrombosis, a renal ectopic kidney, or horseshoe kidneys. Occasionally, a renal mass may be malignant and correspond to congenital mesoblastic nephroma, Wilms’ tumor, or fetal hamartoma. Whatever the nature of the renal mass, early intervention may save the kidney or the patient.

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“…In our clinic, the retroperitoneal and thoracoabdominal approach is pre ferred, which is also sufficient in cases of malignant tumors, especially if the differential diagnosis between a benign and a malignant process is difficult. In our cases, the ipsilateral kidney and spleen could be preserved [4,6], but in children with delayed surgical treatment, very often neighboring structures and organs were affected and must be resected [4,14,18].…”

mentioning

confidence: 99%

“…Delayed diagnosis very often results in lethal outcume, particularly in septic neonates or in extension of the seeding of a neonatal adrenal hemorrhage with subse quent abscess formation [1,3], In some reported cases the etiology remains unclear as it was in ours [7,10]. Most likely, adrenal abcesses begin with adrenal hemorrhage, which is a relatively common and well-documented event [11][12][13] frequently associated with traumatic or difficult delivery, hypoxia, sepsis, coagulopathy and macrosomia with maternal diabetes [1,3,6],…”

mentioning

confidence: 99%