title: Diagnosis and subsequent US-guided percutaneous drainage of an adrenal abscess in a 5-week-old infant.
abstract: Adrenal abscess is an uncommon finding in neonates and young infants. It may have a fatal outcome if inadequately treated. This case report describes the successful diagnosis and treatment of a left-sided adrenal abscess in a 5-week-old girl. Abdominal US and antigranulocyte antibody-scintigraphy showed an encapsulated suprarenal mass with debris suspicious for an adrenal abscess. Treatment is generally surgical. In this case, however, we performed US-guided percutaneous drainage combined with intravenous antibiotic treatment. The child recovered fully.
authors.affiliation: Department of Radiology, University Medical Center Utrecht, 3508 GA, Utrecht, The Netherlands. s.c.e.diepstraten@umcutrecht.nl
authors.forename: S C E
authors.initials: SC
authors.lastname: Diepstraten
authors.forename: S
authors.initials: S
authors.lastname: Zwaveling
authors.forename: F J A
authors.initials: FJ
authors.lastname: Beek
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging* / Q000601:surgery*; D000307:Adrenal Gland Diseases / Q000000981:diagnostic imaging* / Q000601:surgery*; D004322:Drainage / Q000379:methods*; D004927:Escherichia coli Infections / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D006801:Humans; D007223:Infant; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional / Q000379:methods*