Adrenal abscess in a 3-week-old neonate – a case report
Małgorzata Rumińska1, Ewelina Witkowska-Sędek1, Stanisław Warchoł2, Teresa Dudek-Warchoł2, Michał Brzewski3, Beata Pyrżak1
1 Department of Pediatrics and Endocrinology, Medical University of Warsaw, Warsaw, Poland
2 Department of Pediatric Surgery and Urology, Medical University of Warsaw, Warsaw, Poland
3 Department of Pediatric Radiology, Medical University of Warsaw, Warsaw, Poland
Correspondence: Małgorzata Rumińska, Department of Pediatrics and Endocrinology, Medical University of Warsaw, Marszałkowska 24, 00-576 Warsaw, Poland tel.: +48 22 629 06 05, e-mail: firstname.lastname@example.org
The authors present a case of a 6-year-old boy operated on in the 4th week of life because of adrenal abscess. The diagnosis of an adrenal abscess in the neonatal period is challenging due to its rare occurrence and non-specific signs. Adrenal abscesses can develop via two mechanisms: as a result of a hematogenic infection and a spread of bacteria to “normal” adrenal glands or, which is much more common, a complication of an adrenal hematoma. Early and accurate diagnosis is crucial for appropriate therapeutic management. Imaging, including ultrasound, can be problematic. The final diagnosis is frequently established on the basis of a histological examination of a surgical specimen.