Adrenal rests associated with ectopic testis in an adult: Clinical significance
A 26-year-old man, married with two children, presented with a swelling in the right groin, which was present since early childhood. His past history was irrelevant. On examination, he was generally well and his vital signs were normal as well as his chest and abdomen. Local examination revealed a reducible inguinoscrotal hernia on the right side, and an undescended testis on the left, with underdeveloped hemiscrotum.\nHis routine laboratory investigations were unremarkable and computerized axial tomography (CT)/ultrasound (US) scans of the inguinal region showed normally located right testis with an inguinoscrotal hernia, while on the left side, the testis was lying at the level of the deep inguinal ring. At operation: A right indirect inguinal hernia was found for which mesh repair was performed. On the left side, the testis, expectedly, was found at the deep ring and orchidectomy was done.\nThe patient recovered well and was discharged in good condition for follow-up in the outpatient clinic.\nHistopathological examination of the excised testis showed atrophic changes, with adjacent adrenal rests in which the three cortical layers were represented [Figures -].