Lizardo-Barahona J R, Nieto-Zermeño J, Bracho-Blanchet E
Departamento de Cirugía General, Hospital Infantil de México Federico Gómez, México.
Bol Med Hosp Infant Mex. 1990 Jun;47(6):401-4.
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.
这是一份病例报告，关于一名22天大的新生儿，因腹部肿瘤、发热、易怒和拒食被转诊至我院。该新生儿因肩部娩出受阻难产出生，阿氏评分5/8分。入院时，右侧腹部可证实存在肿瘤，占据右肾窝，大小为5×8厘米，不可移动且无痛。检查结果显示诊断为钙化性右肾上腺出血与神经母细胞瘤待鉴别。手术中发现一个右肾上腺脓肿，予以引流，并取活检样本做进一步检查。脓液培养出奇异变形杆菌。病理报告为脓肿性右肾上腺血肿，部分钙化。患者伤口发生感染，但后来在状况良好的情况下出院。文献中仅报道了另外15例这种病理情况的病例，此为第16例。强调应将这种病理情况纳入新生儿腹膜后肿瘤鉴别诊断的范畴。
