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Adrenal cortex heterotopia in an undescended testis-a case report
Thulasi Raman R1, Revathi Sree R1, Hemanathan G2
1Assistant Professor, Department of Pathology, Shri Sathya Sai Medical College and Research Institute , Kancheepuram, Tamil Nadu, India .
Journal of Clinical and Diagnostic Research : JCDR
|November 12, 2014
Summary
Ectopic adrenal cortical rests, rarely found in adults within the spermatic cord, were incidentally discovered in the rete testis during surgery for an undescended testis. This rare finding highlights potential complications from adrenal tissue in this location.
Area of Science:
- Endocrinology
- Urology
- Pathology
Background:
- Heterotopic adrenal cortex is typically found in the kidney, retroperitoneum, and spermatic cord.
- It is more common in pediatric patients and infrequently observed in adults.
Observation:
- A case presented with right inguinal swelling and pain, revealing an absent right testis via ultrasonogram.
- Surgical exploration for an undescended testis led to the incidental discovery of ectopic adrenal cortical tissue in the rete testis.
Findings:
- Microscopic examination confirmed an ectopic adrenal cortical rest adjacent to atrophic testicular tissue.
- While indolent in this instance, ectopic adrenal tissue carries the potential for pathological transformation.
Implications:
- This case underscores the rarity of ectopic adrenal tissue in adults at this specific site.
- Awareness of this condition is crucial due to its potential to cause complications if left untreated.
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