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2015 | 15 | 63 | 429-437
Article title

Adrenal abscess in a 3-week-old neonate – a case report

Title variants
Ropień nadnercza u 3-tygodniowego noworodka – opis przypadku
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The authors present a case of a 6-year-old boy operated on in the 4th week of life because of adrenal abscess. The diagnosis of an adrenal abscess in the neonatal period is challenging due to its rare occurrence and non-specific signs. Adrenal abscesses can develop via two mechanisms: as a result of a hematogenic infection and a spread of bacteria to “normal” adrenal glands or, which is much more common, a complication of an adrenal hematoma. Early and accurate diagnosis is crucial for appropriate therapeutic management. Imaging, including ultrasound, can be problematic. The final diagnosis is frequently established on the basis of a histological examination of a surgical specimen.
Autorzy przedstawiają przypadek 6-letniego chłopca operowanego w 4. tygodniu życia z powodu ropnia nadnercza. Rozpoznanie ropnia nadnercza w okresie noworodkowym stwarza duże trudności diagnostyczne ze względu na sporadyczne występowanie oraz niespecyficzne objawy. Ropień nadnercza może powstać w dwóch mechanizmach: w wyniku zakażenia krwiopochodnego i wysiewu bakterii do „prawidłowych” nadnerczy lub – znacznie częściej – na skutek powikłania krwiaka nadnercza. Wczesna i właściwa diagnoza jest kluczowa dla podjęcia odpowiedniego postępowania terapeutycznego. Diagnostyka obrazowa, w tym ultrasonograficzna, może stwarzać duże problemy. Często ostateczne rozpoznanie ustala się dopiero po chirurgicznym usunięciu zmiany na podstawie badania histopatologicznego.

Physical description
  • Department of Pediatrics and Endocrinology, Medical University of Warsaw, Warsaw, Poland
  • Department of Pediatric Surgery and Urology, Medical University of Warsaw, Warsaw, Poland
  • Department of Pediatric Surgery and Urology, Medical University of Warsaw, Warsaw, Poland
  • Department of Pediatric Radiology, Medical University of Warsaw, Warsaw, Poland
  • Department of Pediatrics and Endocrinology, Medical University of Warsaw, Warsaw, Poland
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