Ectopic adrenal tissue in an inguinal hernia sac: A case report

Adrenal ectopy is the rare occurrence of adrenal tissue at abnormal locations with hernia sac being particularly infrequent. 2-year-old male child with swelling in right inguinal region was diagnosed as reducible inguinal hernia. Intraoperatively during hernia repair, the sac was identified with a thick yellow nodule adherent to it. Separation of sac from cord structures along with high ligation of sac was done. The histopathological analysis of abnormal tissue was consistent with ectopic adrenal cortical tissue. We conclude that abnormal tissue found incidentally at inguinoscrotal surgeries should be removed, since ectopic adrenal tissue can potentially cause morbidity in the future.