Adrenal Cortex Heterotopia in an Undescended Testis–A Case Report

Abstract

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.

Adrenal Crest in Testicular Tissue of an Undescended Testis in an Adult Patient: A Case Report

“…Rarely, they can grow to be larger and attract clinical attention. Similarly, this ectopic adrenal tissue can undergo a neoplastic transformation or become functional, releasing hormones, and causing various symptoms resulting in significant morbidity and mortality [5]. In the early 1900s, a case of a functional tumor arising in an adrenal cortical rest located in the broad ligament was reported.…”

Paratesticular Ectopic Adrenal Rests: Case Report and Ancillary Features

“…In males, differential diagnosis considerations shoud include testicular tumor, primary or metastatic clear cell carcinoma of the kidney, paraganglioma and metastasis from adrenal cortical carcinoma. In this respect, immunohistochemical exam is useful in excluding other pathologies (19,20).…”