[Abscessed adrenal hematoma with arterial hypertension]

A neonate presented with anemia. Its relationship to bilateral adrenal hematoma was recognized only at one month of age, when hepatomegaly, inflammatory syndrome and hypertension associated with ultrasonographic findings suggested the diagnosis of right adrenal abscess with compression of the renal pedicle. The child underwent surgery at 6 weeks of age. Surgical drainage associated with antibiotic treatment led to recovery without sequelae. The authors consider the steps in the diagnosis of an abscessed hematoma in the presence of adrenal hematoma and the screening which may detect complications.