1/21. Suprarenal abscess in the neonate: a case report and review of diagnosis and management.A case of unilateral suprarenal abscess is reported. This is the third such reported case, and the first reported case successfully treated with preservation of the kidney. diagnosis and treatment were aided significantly by a thorough preoperative radiological evaluation, including angiography.- - - - - - - - - - ranking = 1keywords = abscess (Clic here for more details about this article) |
2/21. Puerperal adrenal abscess complicating chorioamnionitis.BACKGROUND: An abscess in the adrenal gland is a rare finding described only a few times in the literature. We present a case report of chorioamnionitis complicated by a puerperal adrenal abscess diagnosed and drained percutaneously using ultrasound and computed tomography. CASE: A 22-year-old woman delivered prematurely because of chorioamnionitis. amoxicillin clavulanate was administered, and her fever defervesced. Six days later, the patient presented with a temperature of 40C and right flank pain. Workup revealed an abscess in the right adrenal gland, which was diagnosed by computed tomography scan, and then drained percutaneously. Follow-up revealed regression of the abscess to complete recovery. CONCLUSION: Adrenal abscess has not been described in the past as a possible complication of choriamnionitis. It is important to assess the entire abdominal cavity by ultrasound or computed tomography in febrile patients who do not respond to medical therapy.- - - - - - - - - - ranking = 1.8keywords = abscess (Clic here for more details about this article) |
3/21. Cystic neuroblastoma.In the newborn, cystic masses of the adrenal gland are unusual findings and most are secondary to hemorrhage. We present a patient with a clinical history typical for adrenal hemorrhage who was found to have a thick walled cystic adrenal mass on both physical and ultrasound examination. During evaluation the mass decreased in size, but vanillylmandelic acid (VMA) and homovanillic acid (HVA) levels were elevated. laparotomy and left adrenalectomy confirmed the diagnosis of a cystic neuroblastoma. Adrenal cyst, adrenal abscess, and cystic neuroblastoma are all rare entities in the newborn. We recommend that all cystic masses of the adrenal be evaluated by urinary VMA and HVA and that the possibility of cystic neuroblastoma be kept in mind when an adrenal cystic mass is followed nonoperatively.- - - - - - - - - - ranking = 0.2keywords = abscess (Clic here for more details about this article) |
4/21. Bilateral neonatal adrenal abscess. Report of two cases and review of the literature.Neonatal adrenal abscess is an extremely rare condition. 32 cases, 4 bilateral, have been described in the world literature. We treated successfully other two bilateral cases. We report on this rare condition and review the world literature. In our Department we observed two patients in the neonatal period with abdominal distension, vomiting, irritability and fever. Abdominal ultrasound (US), plain x-ray of the abdomen, intravenous pyelography and computed tomography (CT) of the abdomen were performed. In both cases bilateral suprarenal cystic masses were identified. vanilmandelic acid, homovanillic acid and cathecolamines were normal. The two neonates underwent a surgical exploration. Abscesses were found and drained releasing a moderate amount of haemorrhagic and purulent materials from the adrenal glands. Post-operative histology on the surgical specimen showed in both cases an abscess in partial haemorrhagic adrenal glands. No neoplastic cells were observed. The recovery was uneventful and at six months follow-up both patients were well and without signs of adrenal insufficiency. Haematogenous bacteria seeding a normal gland or abscess formation in a previous haemorrhagic gland are the most accredited theories. neuroblastoma, Wilm's tumor and renal duplication with dilatation of the upper segment must be considered in the differential diagnosis. Percutaneous drainage ( /- biopsy) under CT or US guide should be considered the treatment of choice, followed by surgical exploration when diagnosis is not clear.- - - - - - - - - - ranking = 1.4keywords = abscess (Clic here for more details about this article) |
5/21. Laparoscopic drainage of nocardial adrenal abscess in an hiv positive patient.We report a rare case of a nocardial adrenal abscess in an hiv patient that underwent the first drainage of adrenal abscess by laparoscopy. Adrenal abscesses are exceedingly rare in adults and prove to be a diagnostic challenge. Laparoscopic adrenal exploration is both a diagnostic and therapeutic modality with low perioperative morbidity that should be considered in the management of indeterminate adrenal masses and abscesses.- - - - - - - - - - ranking = 1.6keywords = abscess (Clic here for more details about this article) |
6/21. Right adrenal abscess -- an unusual complication of acute apendicitis.Acute appendicitis represents one of the most frequent abdominal emergencies encountered in everyday surgical practice. Local infectious complications are not unusual and retroperitoneal abscesses after acute retrocaecal appendicitis have been previously described. The authors present the case of a 22-years-young female patient, admitted for a right iliac fossa abscess, secondary to gangrenous appendicitis. A right adrenal mass 35/40 mm was revealed during preoperative ultrasound evaluation, which evolved in an adrenal abscess that spontaneously drained 10 days after appendectomy and retrocecal drainage. Adrenal abscesses are exceptionally rare, with only a few cases being reported in the literature, but none of these after acute appendicitis.- - - - - - - - - - ranking = 1.6keywords = abscess (Clic here for more details about this article) |
7/21. Bilateral adrenal abscess in a neonate.A 23-day-old male baby with a history of perinatal hypoxia presented with refusal of feeds and abdominal distension. The child had a right-sided cystic upper abdominal mass and features of neonatal septicemia. Abdominal ultrasound (US) and contrast-enhanced CT scan showed bilateral adrenal abscesses. laparotomy with drainage of the abscesses successfully treated the condition. The literature on the subject is reviewed.- - - - - - - - - - ranking = 1.2keywords = abscess (Clic here for more details about this article) |
8/21. Neonatal adrenal abscess revisited: the importance of raised inflammatory markers.Adrenal abscesses rarely occur in neonates and usually present with non-specific signs and symptoms. Prompt diagnosis requires an index of suspicion. We describe right-sided adrenal haemorrhage and abscess formation in a newborn with hypoxic-ischaemic encephalopathy following maternal post-partum haemorrhage and sepsis with escherichia coli and enterococcus faecalis. Percutaneous drainage of the abscess identified an E. coli isolate identical to that in the mother plus candida albicans.- - - - - - - - - - ranking = 1.4keywords = abscess (Clic here for more details about this article) |
9/21. Non-typhi salmonella adrenal abscess in an hiv-infected patient.We report a case of non-typhi salmonella adrenal abscess in a patient with human immunodeficiency virus (hiv) infection and thalassaemia minor. Non-typhi salmonella bacteraemia is common in hiv-infected patients, but infection localized in the adrenal gland is rare. Focal salmonellosis is common in haemoglobinopathy but unusual in thalassaemia minor. This patient was diagnosed by computed tomography (CT) guided aspiration and successfully treated with ciprofloxacin.- - - - - - - - - - ranking = 1keywords = abscess (Clic here for more details about this article) |
10/21. Clinics in diagnostic imaging (109). Nocardial adrenal abscess.A 34-year-old man presented with a two-month history of intermittent fever and left loin pain. A large left suprarenal mass was detected on computed tomography and magnetic resonance imaging. blood pressure, serum electrolytes, serum cortisol and urinary catecholamines were normal. Laparoscopic adrenalectomy was planned but the mass was found to be an isolated adrenal abscess due to Nocardiosis. He was later found to have AIDS. The clinical utility of various imaging modalities and management of adrenal cysts are reviewed.- - - - - - - - - - ranking = 1keywords = abscess (Clic here for more details about this article) |
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