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Bilateral adrenal abscess in a neonate
Pinaki Ranjan Debnath1, Rakesh Kumar Tripathi, Ajay Kumar Gupta
1Department of Pediatric Surgery, Lady Hardinge Medical College and Kalawati Saran Childrens Hospital, New Delhi, India.
Indian Journal of Pediatrics
|March 11, 2005
Summary
Bilateral adrenal abscesses in a neonate, a rare condition, were successfully treated with surgical drainage. This case highlights the importance of prompt diagnosis and intervention for neonatal septicemia and abdominal masses.
Area of Science:
- Pediatric Surgery
- Neonatal Medicine
- Radiology
Background:
- Neonatal septicemia presents diagnostic challenges.
- Perinatal hypoxia can predispose neonates to infections.
- Abdominal masses in neonates require thorough investigation.
Observation:
- A 23-day-old male infant presented with feeding refusal and abdominal distension.
- Clinical examination revealed a right-sided upper abdominal mass and signs of neonatal septicemia.
- Imaging studies, including abdominal ultrasound and contrast-enhanced CT, identified bilateral adrenal abscesses.
Findings:
- The neonate had bilateral adrenal abscesses, a rare finding in this age group.
- Surgical intervention via laparotomy with abscess drainage was performed.
- The infant showed a successful clinical recovery following the procedure.
Implications:
- Prompt diagnosis and surgical management are crucial for neonatal adrenal abscesses.
- This case underscores the utility of advanced imaging in identifying complex neonatal pathologies.
- Adrenal abscesses should be considered in the differential diagnosis of abdominal masses and septicemia in neonates.