Adrenal cortex heterotopia in an undescended testis-a case report

Heterotopic adrenal cortex is usually found in the kidney, retroperitoneum and spermatic cord. It is common among pediatric age group and rarely encountered in adults. Our case presented with swelling in the right inguinal region with on and off dragging pain. On clinical examination testis was absent in the right scotal sac which was confirmed with ultrasonogram. The clinical diagnosis was right side undescended testis. Orchidectomy was performed and on microscopic examination we incidentally found out an ectopic adrenal cortical rest in the rete testis with atropic changes in the testis. Though the ectopic adrenal tissue was indolent in our case, literature suggests that it can undergo transformations like hyperplasia, adenoma and carcinoma, leading to undesirable complications. We present this case for the rarity at this age and site, and for the awareness that it may cause complications if left untreated.