PDF herunterladen
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
1   Department of Pediatric Surgery, Università della Campania Luigi Vanvitelli, Naples, Italy
› Institutsangaben
Weitere Informationen

Publikationsverlauf

24. Juli 2017

02. November 2017

Publikationsdatum:
10. Januar 2018 (online)

   Lizenzen und Reprints

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
 

  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 5 Schechter DC. Aberrant adrenal tissue. Ann Surg 1968; 167 (03) 421-426
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 8 Anderson JR, Ross AH. Ectopic adrenal tissue in adults. Postgrad Med J 1980; 56 (661) 806-808
    CrossrefPubMedGoogle Scholar
  • 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
    Google Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 11 Wiener MF, Dallgaard SA. Intracranial adrenal gland; a case report. AMA Arch Pathol 1959; 67 (02) 228-233
    PubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 13 Vaos G, Zavras N, Boukouvalea I. Ectopic adrenocortical tissue along the inguinoscrotal path of children. Int Surg 2006; 91 (03) 125-128
    PubMedGoogle Scholar
  • 14 Czaplicki M, Bablok L, Kuzaka B, Janczewski Z. Heterotopic adrenal tissue. Int Urol Nephrol 1985; 17 (02) 177-181
    CrossrefPubMedGoogle Scholar
  • 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
    PubMedGoogle Scholar
  • 16 O'Crowley CR, Martland HS. Adrenal heterotopia rests and so-called Grawitz tumors. J Urol 1943; 50 (06) 756-768
    CrossrefPubMedGoogle Scholar
  • 17 Graham LS. Celiac accessory adrenal gland. Cancer 1953; 6 (01) 149-152
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar
  • 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
    CrossrefPubMedGoogle Scholar