Adrenal Abscess in a Neonate Presenting as a Renal Neoplasm

Neonatal Adrenal Abscesses

“…Bacterial seeding was sometimes correlated with maternal infections, but in most cases the the abscess and involvement of adjacent organs [1,2,4,16]. As was reported of septic infants, the diagnosis was established only intraoperatively or even at autopsy [4,18]. Nowadays it should be possible to find the stable diagnosis by using all diagnostical events, especially CT and NMR, to get the correct diagnosis.…”

“…Differential diagnosis of adrenal abcesses includes hemorrhage, cyst, neuroblastoma, Wilms' tumor, renal duplication with dilatation of the upper segment and hydronephrosis [1,2,17,18]. The early and accurate diag nosis of an adrenal abscess in neonates is very important to insure appropriate clinical management and surgical treatment.…”

“…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].…”

Two Cases of Adrenal Abscesses Following Histoacry® (N -butyl-2- cyanocrylate) Injection

“…The accompanying symptoms of Histoacryl® injection are fever, chest pain, ulcers, bleeding, and abdominal pain. Rarely, but fatal complications are embolism, infarction, septic shock, and rebleeding 6,7. To our knowledge, this is the first report of an adrenal abscess occurring after a Histoacryl® injection for variceal bleeding.…”

Neonatal adrenal abscess revisited: the importance of raised inflammatory markers

“…The differential diagnosis is extensive and includes haemorrhage, cyst, neuroblastoma, Wilm's tumour, renal duplication and hydronephrosis. 2,3 Early and accurate diagnosis is pivotal to the overall clinical management and may be life-saving. A high index of suspicion is therefore required in the well-looking infant who presents with intermittent fever and is found to have persistently elevated inflammatory markers.…”