[Adrenal abscess in the newborn: a case report and review of the literature].
This is a case report concerning a 22 day newborn referred to us having an abdominal tumor, fever, an irritable nature and feeding refusal, born dystocically due to the retention of the shoulders and having an Apgar score of 5/8. When admitted the presence of the tumor was corroborated in the right flank occupying the right renal fossa and measuring 5 x 8 cm, non-mobile and painless. Studies revealed a diagnosis of calcified right adrenal hemorrhage versus neuroblastoma. During surgery a right adrenal abscess was found which was drained and a biopsy sample was taken for further study. The culture of the pus developed Proteus mirabilis. Pathology reported it to be an abscessed right adrenal hematoma which was partially calcified. The patient's wound became infected but was later sent home under good conditions. Only 15 other cases with this pathology are reported in the literature, this would be the 16th case. An emphasis is placed on including this pathology as part of the differential diagnosis of retroperitoneal tumors in the newborn.
Lizardo-Barahona
J R
JR
Departamento de Cirugía General, Hospital Infantil de México Federico Gómez, México.
Nieto-Zermeño
J
J
Bracho-Blanchet
E
E
D000038:Abscess / Q000175:diagnosis*; D000307:Adrenal Gland Diseases / Q000175:diagnosis*; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011512:Proteus Infections / Q000175:diagnosis*; D011513:Proteus mirabilis
Absceso adrenal en el recién nacido: informe de un caso y revisión de la literatura.