Endoscopic Ultrasound-Guided Transgastric Puncture and Drainage of an Adrenal Abscess in an Immunosuppressed Patient

• Published in: Clinical endoscopy Vol. 55; no. 2; pp. 302 - 304
• Main Authors: Carlos Andrés Regino, Jean Paul Gómez, Gabriel Mosquera-klinger
• Format: Journal Article
• Language: Korean
• Published: 대한소화기내시경학회 30-03-2022
• Subjects: Abscess; Adrenal glands; Drainage; Endoscopic ultrasound-guided fine-needle aspiration; Endosonography; Drainage; Endoscopic ultrasound-guided fine-needle aspiration; Adrenal glands; Endosonography; Abscess
• ISSN: 2234-2400; 2234-2443

Adrenal gland infection is a clinical entity of great importance, but it is a largely unrecognized pathology. Immunosuppressed individuals are at a higher risk of presentation. Herein, we describe a young female patient, recently diagnosed with HIV, who presented with severe sepsis due to methicillin-resistant Staphylococcus aureus, associated with a left adrenal abscess. She was initially treated with antibiotics; however, due to the persistence of the systemic inflammatory response and bacteremia, endoscopic ultrasound-guided drainage was performed. This procedure was successful in resolving the clinical situation.
Endoscopic ultrasound-guided adrenal gland drainage can be a safe, efficacious, and minimally invasive option for managing antibiotic-refractory adrenal abscesses in immunosuppressed patients. Clin Endosc 2022;55:302-304