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Ectopic Paratesticular Adrenal Gland in a Fetus: Fortuity or Morphological Cues About the Cause of Death

Received: 18 March 2016     Accepted: 10 May 2016     Published: 3 June 2016
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Abstract

In this paper, a case of ectopic supernumerary paratesticular adrenal gland in a 18 week fetus was described. Ectopic adrenal tissue has been described in male young patients along the spermatic cord during groin surgical exploration. The first description was made from Morgagni in 1740 and about one hundred of cases have been reported in international literature, above all in pediatric patients that underwent to surgical intervention on inguinal region. 80 cases of ectopic adrenal tissue have been detected in gonadal region, with a male prevalence in scrotal location. Our report regards a perinatal autopsy of a male fetus died during the second trimester of gestation for placental infection. We speculate on the importance of this morphological detection aimed at reconstruction of the pathogenesis of death.

Published in International Journal of Clinical and Developmental Anatomy (Volume 2, Issue 2)
DOI 10.11648/j.ijcda.20160202.11
Page(s) 14-16
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2016. Published by Science Publishing Group

Keywords

Adrenal Gland, Ectopic, Perinatal Autopsy

References
[1] Ozel S.K., Kazez A., Akpolat N. Presence of ectopic adrenocortical tissues in inguinoscrotal region suggests an association with undescended testis. Pediatric Surgery International; 23, pp. 171-175, 2007.
[2] Prada Arias M., Vázquez Castelo J. L., Montero Sánchez M., Muguerza Vellibre R., Rodríguez Costa A. Supernumerary intrascrotal ectopic spleen: discontinuous splenogonadal fusion. Anales de Pediatrìa; 64, pp. 277-279, 2006.
[3] Mendez R., Tellado M. G., Somoza I., Liras J., Sanchez Abuin A., Pais E., Vela D. Ectopic adrenal tissue in the spermatic cord in pediatric patiens: surgical implications. International Brazilian Journal of Urology; 32, pp. 202-207, 2006.
[4] Keeling J. W. Fetal and Neonatal Pathology. Gran Bretagna: Sprinter-Verlag Berlin Heidelberg; 1987.
[5] Dahl E. V., Bahn R. C. Aberrant adrenal cortical tissue near the testis in human infants. Section of Pathology, Mayo Foundation, Rochester, Minn; 40, pp. 587-598, 1962.
[6] Normann T., Havnen J., Mjolnerod O. Cushing’s sindrome in an infant associated with neuroblastoma in two ectopic adrenal glands. Journal of Pediatric surgery; 6, pp. 169, 1971.
[7] Hadravská S., Kohoutek T. Ectopic adrenals in a sirenomelic fetus. Annals of Anatomy; 182, pp. 361-363, 2000.
[8] Sara Tremolada, Serena Delbue, and Pasquale Ferrante.Viral infection of the fetus and of the newborn infant. Pediatr Med Chir. 30(4): 177–191, 2008.
[9] Webster WS. Teratogen update: congenital rubella. Teratology 58:13–23, 1998. [PubMed: 9699240].
[10] Ghidini A, Lynch L. Prenatal diagnosis and significance of fetal infections. West J Med 159:366–373, 1993. [PubMed: 8236979].
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  • APA Style

    Stefania Erra, Silvio Modena, Giulia Speranza. (2016). Ectopic Paratesticular Adrenal Gland in a Fetus: Fortuity or Morphological Cues About the Cause of Death. International Journal of Clinical and Developmental Anatomy, 2(2), 14-16. https://doi.org/10.11648/j.ijcda.20160202.11

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    ACS Style

    Stefania Erra; Silvio Modena; Giulia Speranza. Ectopic Paratesticular Adrenal Gland in a Fetus: Fortuity or Morphological Cues About the Cause of Death. Int. J. Clin. Dev. Anat. 2016, 2(2), 14-16. doi: 10.11648/j.ijcda.20160202.11

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    AMA Style

    Stefania Erra, Silvio Modena, Giulia Speranza. Ectopic Paratesticular Adrenal Gland in a Fetus: Fortuity or Morphological Cues About the Cause of Death. Int J Clin Dev Anat. 2016;2(2):14-16. doi: 10.11648/j.ijcda.20160202.11

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  • @article{10.11648/j.ijcda.20160202.11,
      author = {Stefania Erra and Silvio Modena and Giulia Speranza},
      title = {Ectopic Paratesticular Adrenal Gland in a Fetus: Fortuity or Morphological Cues About the Cause of Death},
      journal = {International Journal of Clinical and Developmental Anatomy},
      volume = {2},
      number = {2},
      pages = {14-16},
      doi = {10.11648/j.ijcda.20160202.11},
      url = {https://doi.org/10.11648/j.ijcda.20160202.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcda.20160202.11},
      abstract = {In this paper, a case of ectopic supernumerary paratesticular adrenal gland in a 18 week fetus was described. Ectopic adrenal tissue has been described in male young patients along the spermatic cord during groin surgical exploration. The first description was made from Morgagni in 1740 and about one hundred of cases have been reported in international literature, above all in pediatric patients that underwent to surgical intervention on inguinal region. 80 cases of ectopic adrenal tissue have been detected in gonadal region, with a male prevalence in scrotal location. Our report regards a perinatal autopsy of a male fetus died during the second trimester of gestation for placental infection. We speculate on the importance of this morphological detection aimed at reconstruction of the pathogenesis of death.},
     year = {2016}
    }
    

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    AB  - In this paper, a case of ectopic supernumerary paratesticular adrenal gland in a 18 week fetus was described. Ectopic adrenal tissue has been described in male young patients along the spermatic cord during groin surgical exploration. The first description was made from Morgagni in 1740 and about one hundred of cases have been reported in international literature, above all in pediatric patients that underwent to surgical intervention on inguinal region. 80 cases of ectopic adrenal tissue have been detected in gonadal region, with a male prevalence in scrotal location. Our report regards a perinatal autopsy of a male fetus died during the second trimester of gestation for placental infection. We speculate on the importance of this morphological detection aimed at reconstruction of the pathogenesis of death.
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Author Information
  • Department of Surgical Pathology, Santo Spirito Hospital, Casale Monferrato (Al), Italy

  • Department of Surgical Pathology, Santo Spirito Hospital, Casale Monferrato (Al), Italy

  • Department of Surgical Pathology, Santo Spirito Hospital, Casale Monferrato (Al), Italy

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