Ectopic adrenal tissue in the spermatic cord in pediatric patients: surgical implications

AUTOR(ES)

Mendez, Roberto, Tellado, Manuel G., Somoza, Ivan, Liras, Jorge, Sanchez-Abuin, A., Pais, Ernesto, Vela, Diego

FONTE

International braz j urol

DATA DE PUBLICAÇÃO

2006-04

RESUMO

OBJECTIVE: To study the incidence and relevance of ectopic adrenal tissue in pediatric patients who underwent groin surgical explorations. MATERIALS AND METHODS: We studied 1120 patients with groin surgical explorations during a period of 8 consecutive years. Patients’ clinical data and histological findings were analyzed. RESULTS: We found ectopic adrenal tissue in 13 patients in 1120 groin surgical exploration (1.16%). Of the 13 cases, 5 were diagnosed as having undescended testes, 6 inguinal hernia and 2 communicating hydrocele. Median age at diagnosis was 5.6 years. Histological sections showed adrenal cortical tissue with no medulla present. CONCLUSION: Based on the clinical implications of those adrenal rests it is mandatory the removal of this ectopic tissue whenever encountered during surgical interventions in the groin region in children.

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