TITLE:
Aberrant Adrenocortical Tissue Associated with Resected Lipoma of Spermatic Cord in an Adult
AUTHORS:
Motoi Takeuchi, Koichi Okuya, Ryu-Ichi Kato, Noriomi Miyao, Yasuhiro Konishi
KEYWORDS:
Aberrant Adrenocortical Tissue, Inguinal Hernia, Spermatic Cord, Lipoma, Adult
JOURNAL NAME:
Open Journal of Urology,
Vol.4 No.12,
December
22,
2014
ABSTRACT: Aberrant adrenocortical tissue in spermatic cord is rare in adult population. We report an unusual case of a 52-year-old male patient with an aberrant adrenocortical tissue which is incidentally resected within lipoma of spermatic cord and identified on microscopic examination. Although he was diagnosed with right inguinal hernia, there was no significant hernia orifice intraoperatively. When the 2nd operation by anterior open approach was undergone, there was a fat-like tissue adhered to the spermatic cord. It was removed and the histopathological finding first revealed aberrant adrenocortical tissue in the resected lipoma of spermatic cord (Figure 1). This abnormal tissue is usually found incidentally during inguinal operation. In general, most of the aberrant adrenal tissue becomes atrophic by adult life. Moreover, it is not clinically significant and also not associated with endocrine abnormalities.