Adrenal rests in the inguinal region in children

Altin, M. Ali; Gündoğdu, Zafer; Aksoy, Fehmi

doi:10.1007/bf00178826

Cited by 10 publications

(9 citation statements)

References 7 publications

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“…The overall prevalence of EACT along the spermatic cord in published retrospective or prospective studies are very different, ranging 1-9.3% [7,8], but the frequency in neonates is much higher, up to 15% [5]. The total prevalence in our study was 2.2% and adrenal rests were not registered among the neonates and children under 1 year of age.…”

Section: Discussioncontrasting

confidence: 67%

“…The total prevalence in our study was 2.2% and adrenal rests were not registered among the neonates and children under 1 year of age. Also, the rests were not found in girls who underwent inguinal operations, as in Sullivan, Gohel, and Kinder [27] and Altin, Gundo, and Aksoy studies [8]. On the contrary, Oguzkurt, Oz, and Kayaselcuk [11] registered the frequency of 1.3% in boys and 3% in girls operated for inguinal hernia.…”

Section: Discussionmentioning

confidence: 84%

“…They may be found in the region of adrenal, kidney, testes, and ovaries, along the retroperitoneal fascia, spermatic vessels, or broad ligament [1]. Ectopic adrenocortical tissue has been observed in a variety of places and reported in occurrence 1-9.3% in pediatric patients as an incidental finding during inguinal surgery [7][8][9][10][11].…”

Section: Introductionmentioning

confidence: 99%

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Ectopic Adrenocortical Tissue: An Incidental Finding During Inguinal Surgery in Children

Dobanovacki¹,

Marić²,

Marić³

et al. 2012

Fetal and Pediatric Pathology

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Adrenal rests are usually unrecognized during operation, and the incidence of ectopic adrenal cortical tissue in pediatric patients during inguinal surgery procedures is unknown. We performed 3028 groin surgical explorations in 2680 patients aged 1 month to 17 years. Ectopic adrenal tissue was found in 69 inguinal operations (2.2%): 37 during 1.524 orchiopexy (2.4%), 23 during 1.115 herniectomy (2.0%), and 9 during 389 hydrocoela operation (2.3%). Statistically there were no significant differences among those three groups. No adrenal rests were detected in females. Although a few reported cases with hormonal activity of ectopic adrenocortical tissue (EACT), the recommendation is to remove them if found.

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Section: Discussioncontrasting

confidence: 67%

Section: Discussionmentioning

confidence: 84%

Section: Introductionmentioning

confidence: 99%

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Ectopic Adrenocortical Tissue: An Incidental Finding During Inguinal Surgery in Children

Dobanovacki¹,

Marić²,

Marić³

et al. 2012

Fetal and Pediatric Pathology

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“…Typical locations are within the testes, the celiac plexus and along the spermatic cord (1)(2)(3)(4)(5)(6). Other rare locations are the liver and the spinal canal (7,8).…”

Section: Introductionmentioning

confidence: 99%

An adrenal rest tumour in the perirenal region in a patient with congenital adrenal hyperplasia due to congenital 3β-hydroxysteroid dehydrogenase deficiency

Grinten¹,

Duthoi²,

Otten³

et al. 2008

European Journal of Endocrinology

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Background: In contrast to the high incidence of testicular adrenal rest tumours (TART) in adult male patients with congenital adrenal hyperplasia (CAH), ovarian adrenal rest tumours in female CAH patients are very rare and other locations of adrenal rest tumours have never been reported. Here, we report on an adult patient with CAH due to 3b-hydroxysteroid dehydrogenase (HSD) deficiency with bilateral TART and additionally a large perirenal adrenal rest tumour. Case report: The patient was known with CAH due to 3b-HSD deficiency and treated with hydrocortisone and fludrocortisone since the neonatal period. In puberty, there was lack of compliance with consequently high POMC concentrations. At the age of 16 years, bilateral TART were detected by scrotal ultrasound. Intensifying glucocorticoid medication did not result in decrease in POMC concentrations and shrinkage of size of the tumours. At the age of 23 years, abdominal ultrasound was performed because of abdominal complaints, showing a round inhomogeneous structure with a diameter of 4 cm near the left renal hilus. A computer tomography scan showed a multinodular lesion in the retroperitoneal region beside the left kidney. Histological investigation after removal of the tumour showed sheets of large polygonal cells with abundant eosinophilic cytoplasm, separated by dense fibrous tissue strands. The histological and immunohistochemical profile resulted in a diagnosis of an adrenal rest tumour. Conclusion: In adult CAH patients, ectopic adrenal rest tumours can be present outside the testicular region. Further investigations are necessary to determine whether regularly screening for these tumours is useful.

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“…In neonates, the incidence is probably 7.5-15% in the region of the testis (3).The incidence of EAT differs with the underlying diagnosis; in the published studies the incidence of EAT increases in the groin explorations for undescended testis compared against inguinal hernia (6,7). Close proximity of the adrenal gland and the genital ridge in the embryo explains the association of ectopic adrenal tissue with the gonads in the spermatic cord (2).…”

Section: Discussionmentioning

confidence: 99%

Ectopic Adrenocortical Tissue In The Spermatic Cord In Association With Testicular Teratoma Spermatik Kordda Testiküler Teratomla Birlikte Ektopik Adrenonokortikal Doku

Reşorlu¹,

Soygür²,

Kankaya³

2007

Ankara Üniversitesi Tıp Fakültesi Mecmuası

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Adrenal rests in the inguinal region in children

Cited by 10 publications

References 7 publications

Ectopic Adrenocortical Tissue: An Incidental Finding During Inguinal Surgery in Children

Ectopic Adrenocortical Tissue: An Incidental Finding During Inguinal Surgery in Children

An adrenal rest tumour in the perirenal region in a patient with congenital adrenal hyperplasia due to congenital 3β-hydroxysteroid dehydrogenase deficiency

Ectopic Adrenocortical Tissue In The Spermatic Cord In Association With Testicular Teratoma Spermatik Kordda Testiküler Teratomla Birlikte Ektopik Adrenonokortikal Doku

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