Infected adrenal pseudocyst mimicking a duodenal duplication cyst

Autor: Kailin L. Hsu, A. Alfred Chahine, Bhupender Yadav, Constance R. DiAngelo, Christopher T. Rossi, Kevin M. Creamer
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Journal of Pediatric Surgery Case Reports, Vol 53, Iss , Pp - (2020)
Druh dokumentu: article
ISSN: 2213-5766
DOI: 10.1016/j.epsc.2019.101362
Popis: A nine year-old boy with a complex medical history, including Phelan-McDermid syndrome, autism spectrum disorder, and focal epilepsy was admitted from Infectious Disease (ID) clinic for persistent fever for over three weeks. Laboratory studies were significant for leukocytosis, elevated inflammatory markers, transaminitis, and anemia. He was initially thought to have an infected duodenal duplication cyst with secondary parapneumonic involvement on imaging. Exploration revealed a densely inflamed suprarenal cyst with a communication to the duodenum. Pathology revealed an infected and hemorrhagic adrenal pseudocyst. We speculate that he had a relatively old or subacute hemorrhagic adrenal pseudocyst that subsequently became infected and perforated into the duodenum and sub-diaphragmatic space. Keywords: Adrenal pseudocyst, Adrenal hemorrhage, Persistent fevers
Databáze: Directory of Open Access Journals