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.


METHODS
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.


CONCLUSIONS
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.
Eitan
R
R
Obstetrics and Gynecology, Shaare Zedek Medical Center, Ben-Gurion University of the Negev, Jerusalem, Israel.
Zuckerman
B
B
Raveh
D
D
Beller
U
U
D000038:Abscess / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D000307:Adrenal Gland Diseases / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D000328:Adult; D002821:Chorioamnionitis / Q000150:complications*; D004322:Drainage; D005260:Female; D005313:Fetal Death; D006801:Humans; D011247:Pregnancy; D011262:Pregnancy Trimester, Second; D011644:Puerperal Disorders / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D014057:Tomography, X-Ray Computed