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Ectopic adrenal tissue in an inguinal hernia sac: A case report
Nandini Sateesh Desai1, Aditi Dalvi1, Sanjay Oak1
1Department of Paediatric Surgery, Lokmanya Tilak Municipal Medical College and Hospital, Sion, Mumbai, India.
Urology Case Reports
|August 27, 2025
Summary
Ectopic adrenal tissue, rare adrenal tissue in abnormal locations, was found in a child during inguinal hernia repair. The abnormal tissue was surgically removed to prevent future health issues.
Area of Science:
- Endocrinology
- Pediatric Surgery
- Pathology
Background:
- Adrenal ectopy, the presence of adrenal tissue outside the adrenal glands, is uncommon.
- Ectopic adrenal tissue within a hernia sac is particularly rare.
Observation:
- A 2-year-old male presented with a right inguinal hernia.
- During surgery, a nodule of ectopic adrenal cortical tissue was found adhered to the hernia sac.
- The nodule was successfully separated and the hernia repaired.
Findings:
- Histopathological analysis confirmed the nodule as ectopic adrenal cortical tissue.
- This case highlights an unusual presentation of adrenal ectopy.
Implications:
- Incidental findings of ectopic adrenal tissue during inguinoscrotal surgery warrant removal.
- Early removal can potentially prevent future morbidity associated with ectopic adrenal tissue.
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