Laparoscopic Finding of Ectopic Adrenocortical Tissue in a 2-Year-Old Boy with Vanishing Testis

Antonio Marte

doi:10.1055/s-0037-1612633

European Journal of Pediatric Surgery Reports, Table of Contents

CC-BY 4.0 · European J Pediatr Surg Rep. 2018; 06(01): e4-e6
DOI: 10.1055/s-0037-1612633

Case Report

Georg Thieme Verlag KG Stuttgart · New York

Laparoscopic Finding of Ectopic Adrenocortical Tissue in a 2-Year-Old Boy with Vanishing Testis

Antonio Marte

¹Department of Pediatric Surgery, Università della Campania Luigi Vanvitelli, Naples, Italy

› Author Affiliations

Abstract

Ectopic adrenocortical tissue (EAT) along the spermatic cord is an unusual condition in children. The author reports on a 2-year-old boy with impalpable testis. On laparoscopy, EAT was detected along the hypotrophic spermatic vessels and excised. These remnants should be removed to prevent hormone production or malignant transformation.

Keywords

ectopic adrenocortical tissue - laparoscopy - vanishing testis

Full Text

References

References
1 Mendez R, Tellado MG, Somoza I. , et al. Ectopic adrenal tissue in the spermatic cord in pediatric patients: surgical implications. Int Braz J Urol 2006; 32 (02) 202-207 , discussion 207
2 Ozel SK, Kazez A, Akpolat N. Presence of ectopic adrenocortical tissues in inguinoscrotal region suggests an association with undescended testis. Pediatr Surg Int 2007; 23 (02) 171-175
3 Sullivan JG, Gohel M, Kinder RB. Ectopic adrenocortical tissue found at groin exploration in children: incidence in relation to diagnosis, age and sex. BJU Int 2005; 95 (03) 407-410
4 Sturm R, Kurzrock E, Amend G, Shannon R, Gong E, Cheng E. Blind ending vessels on diagnostic laparoscopy for nonpalpable testis: Is a nubbin present?. J Pediatr Urol 2017; 13 (04) 392.e1-392.e6
5 Schechter DC. Aberrant adrenal tissue. Ann Surg 1968; 167 (03) 421-426
6 Okur H, Küçükaydin M, Kazez A, Kontaş O. Ectopic adrenal tissue in the inguinal region in children. Pediatr Pathol Lab Med 1995; 15 (05) 763-767
7 Müllhaupt G, Mordasini L, Gramann T, Ertel V, Schmid HP, Abt D. Ectopic adrenocortical tissue in the spermatic cord in a 44-year-old man. Urol Case Rep 2014; 2 (05) 169-170
8 Anderson JR, Ross AH. Ectopic adrenal tissue in adults. Postgrad Med J 1980; 56 (661) 806-808
9 Lack EE. Heterotopic and accessory adrenal tissues. In: Lack EE. , ed. Tumors of the Adrenal Gland and Extra-Adrenal Paraganglia. Fascicle 19, third series. Washington, DC: Armed Forces Institute of Pathology; 1997: 34-35
10 Mares AJ, Shkolnik A, Sacks M, Feuchtwanger MM. Aberrant (ectopic) adrenocortical tissue along the spermatic cord. J Pediatr Surg 1980; 15 (03) 289-292
11 Wiener MF, Dallgaard SA. Intracranial adrenal gland; a case report. AMA Arch Pathol 1959; 67 (02) 228-233
12 Oğuz F, Yildiz T, Beytur A. , et al. Evaluation of children with inguinoscrotal ectopic adrenal tissues. Turk J Med Sci 2013; 43: 553-556 . doi:10.3906/sag-1206-25
13 Vaos G, Zavras N, Boukouvalea I. Ectopic adrenocortical tissue along the inguinoscrotal path of children. Int Surg 2006; 91 (03) 125-128
14 Czaplicki M, Bablok L, Kuzaka B, Janczewski Z. Heterotopic adrenal tissue. Int Urol Nephrol 1985; 17 (02) 177-181
15 Vela Navarrete R, Barat A, Berrocal A, López de Alda A, Quezada F. Testicular adrenal rests tumor: a difficult diagnosis [in Spanish]. Actas Urol Esp 1990; 14 (02) 146-148
16 O'Crowley CR, Martland HS. Adrenal heterotopia rests and so-called Grawitz tumors. J Urol 1943; 50 (06) 756-768
17 Graham LS. Celiac accessory adrenal gland. Cancer 1953; 6 (01) 149-152
18 Abe T, Matsuda H, Shindo J, Nonomura K, Koyanagi T. Ectopic pheochromocytoma arising in the spermatic cord 5 years after removal of bilateral carotid body tumors and adrenal pheochromocytomas. Int J Urol 2000; 7 (03) 110-111
19 Garaffa G, Muneer A, Freeman A. , et al. Paraganglioma of the spermatic cord: case report and review of the literature. Sci World J 2008; 8: 1256-1258