Bilateral neonatal adrenal abscesses

Non-Surgical Management of Bilateral Adrenal Abscess in Neonates: Report of Two Cases

“…In both our cases, the abscess resolved with US-guided percutaneous drainage with appropriate antibiotic therapy, and no complications occurred during follow-up. The successful resolution of bilateral adrenal abscess with percutaneous drainage and intravenous antibiotics has also been reported by other authors [ 1 , 4 , 5 ].…”

“…Adrenal hemorrhage is not uncommon in neonates but the development of an adrenal abscess is extremely rare. Bilateral adrenal abscesses is even rarer with less than ten cases documented in the medical literature [ 1 - 5 ]. Neonates usually present with non-specific signs and symptoms which might result in delay in diagnosis and extension of the suppurative process to adjacent organs.…”

Diagnosis and subsequent US-guided percutaneous drainage of an adrenal abscess in a 5-week-old infant

“…In our case, the abscess could be drained percutaneously with an 8-French catheter under US-guidance, and no complications occurred during follow-up. Previous cases where US-guided percutaneous drainage was used were reported by Mondor et al [ 6 ] and Chin-Theam et al [ 7 ]. The former performed an uncomplicated percutaneous US-guided drainage of a right-sided adrenal abscess measuring 6 × 8 cm using a 6-French pigtail catheter by a posterolateral approach.…”