Incidental findings of ectopic adrenal cortical tissue in the umbilical hernia sac and uterine wall: report of two cases in adult females

Ectopic adrenal cortex is rare and usually found incidentally along the gestational migration path of the urogenital organs. It is rare in adult females, and most reported cases have been in male children. We report two cases of incidental ectopic adrenal cortex in 35- and 72-year-old women found in the hernia sac and uterine serosa, respectively. Histopathological and immunohistochemical analysis confirmed the diagnosis in both cases. Awareness of ectopic adrenal tissue is essential to avoid misdiagnosis, particularly in oncology patients where it may be mistaken for metastatic disease. Routine pathological examination of excised tissues can enhance early recognition and improve diagnostic accuracy.