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March 1965

Isolated Adrenal Abscess Secondary to Salmonella

Author Affiliations

From the departments of surgery and medicine, Veterans Administration Hospital, and Vanderbilt University School of Medicine. Resident Surgeon and Instructor in Surgery (Dr. O'Neill); Assistant Resident in Medicine (Dr. Hall).

Arch Surg. 1965;90(3):454-456. doi:10.1001/archsurg.1965.01320090132029

IN KEEPING with advances in the fields of endocrinology and surgery, lesions involving the adrenal gland have received more attention during recent years. However, benign cystic lesions of the adrenal continue to be rare, perhaps because they are not usually symptomatic until they are large enough to produce pressure on contiguous organs. The most common variety of adrenal cyst is the so-called pseudocyst, usually the result of intraglandular hemorrhage from trauma, tumors, vascular lesions, bleeding diatheses, shock, or septic infarcts.5

Salmonella infection, on the other hand, is a common disorder which may be becoming more common.2,9 It may present, in the relative order of frequency, as a gastroenteritis, an enteric fever, a carrier state, or a bacteremia with or without localization in areas outside the gastrointestinal tract.13 The bacteremic form has been known to cause focal abscesses in numerous areas such as the bones, joints, skin and

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