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.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 internati...Show More