Neonatal Adrenal Abscesses

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

“…[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.…”

“…[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.…”

“…[346] An early and accurate diagnosis of neonatal adrenal abscess is essential to avoid a potentially lethal outcome, as bilateral adrenal abscess in our case. Extension of the abscess with involvement of adjacent organs has been reported.…”

“…[34] At present, CT scan and/or magnetic resonance imaging (MRI) should enable one to usually arrive at the correct preoperative diagnosis. [6]…”

A case of adrenal and cephalhematoma abscesses caused by Escherichia coli after forceps delivery

“…Adrenal abscess in the neonatal period is an extremely rare disease. A total of 34 cases have been documented in the world literature, as far as we know 1–5 . The most probable theories for the development of this disease in the neonate are hematogenous bacterial seeding of a normal adrenal gland or abscess formation in a previous hemorrhagic gland 3,6 .…”