Heterotopic adrenal tissue in a specimen after unilateral salpingo-oophorectomy: a case report

Abstract Background Heterotopic adrenal tissue is an extremely rare finding. The most common site is the genitourinary tract and pelvis, more frequently in male than female children. In our report, we discuss an ectopic adrenal tissue detected incidentally in a perimenopausal woman, which is even mo...

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Main Authors: Dominika Trojnarska, Ewa Zabiegło, Robert Jach
Format: Article
Language:English
Published: BMC 2025-05-01
Series:Journal of Medical Case Reports
Subjects:
Online Access:https://doi.org/10.1186/s13256-025-05290-3
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author Dominika Trojnarska
Ewa Zabiegło
Robert Jach
author_facet Dominika Trojnarska
Ewa Zabiegło
Robert Jach
author_sort Dominika Trojnarska
collection DOAJ
description Abstract Background Heterotopic adrenal tissue is an extremely rare finding. The most common site is the genitourinary tract and pelvis, more frequently in male than female children. In our report, we discuss an ectopic adrenal tissue detected incidentally in a perimenopausal woman, which is even more unusual. Case presentation A 54-year-old Eastern European perimenopausal female patient was referred for surgical treatment due to a suspected 60 mm paratubal cyst. Her medical history was unremarkable and risk of ovarian malignancy algorithm score were normal. Laparoscopic left salpingo-oophorectomy was performed and the specimen was sent for histopathology. The examination revealed a normal ovary, a fallopian tube with a simple paratubal cyst, and a 2.5 mm nest of heterotopic adrenal tissue in the nearby fat tissue. The patient was discharged on the first postoperative day, reported no symptoms, and remained asymptomatic at 3-week follow-up. Conclusion A review of the available English literature confirmed the rarity of heterotopic adrenal tissue in adult women. This case is presented due to its uniqueness, with the aim of raising awareness about the entity we encountered and presenting its possible implications.
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spelling doaj-art-a9e8c883baa84d57a0d0b4be6ad96c862025-08-20T03:53:57ZengBMCJournal of Medical Case Reports1752-19472025-05-011911410.1186/s13256-025-05290-3Heterotopic adrenal tissue in a specimen after unilateral salpingo-oophorectomy: a case reportDominika Trojnarska0Ewa Zabiegło1Robert Jach2Faculty of Health Sciences, Jagiellonian University Medical CollegeFaculty of Medicine, Jagiellonian University Medical CollegeFaculty of Medicine, Jagiellonian University Medical CollegeAbstract Background Heterotopic adrenal tissue is an extremely rare finding. The most common site is the genitourinary tract and pelvis, more frequently in male than female children. In our report, we discuss an ectopic adrenal tissue detected incidentally in a perimenopausal woman, which is even more unusual. Case presentation A 54-year-old Eastern European perimenopausal female patient was referred for surgical treatment due to a suspected 60 mm paratubal cyst. Her medical history was unremarkable and risk of ovarian malignancy algorithm score were normal. Laparoscopic left salpingo-oophorectomy was performed and the specimen was sent for histopathology. The examination revealed a normal ovary, a fallopian tube with a simple paratubal cyst, and a 2.5 mm nest of heterotopic adrenal tissue in the nearby fat tissue. The patient was discharged on the first postoperative day, reported no symptoms, and remained asymptomatic at 3-week follow-up. Conclusion A review of the available English literature confirmed the rarity of heterotopic adrenal tissue in adult women. This case is presented due to its uniqueness, with the aim of raising awareness about the entity we encountered and presenting its possible implications.https://doi.org/10.1186/s13256-025-05290-3Heterotopic adrenal tissueAdultSalpingo-oophorectomyCase report
spellingShingle Dominika Trojnarska
Ewa Zabiegło
Robert Jach
Heterotopic adrenal tissue in a specimen after unilateral salpingo-oophorectomy: a case report
Journal of Medical Case Reports
Heterotopic adrenal tissue
Adult
Salpingo-oophorectomy
Case report
title Heterotopic adrenal tissue in a specimen after unilateral salpingo-oophorectomy: a case report
title_full Heterotopic adrenal tissue in a specimen after unilateral salpingo-oophorectomy: a case report
title_fullStr Heterotopic adrenal tissue in a specimen after unilateral salpingo-oophorectomy: a case report
title_full_unstemmed Heterotopic adrenal tissue in a specimen after unilateral salpingo-oophorectomy: a case report
title_short Heterotopic adrenal tissue in a specimen after unilateral salpingo-oophorectomy: a case report
title_sort heterotopic adrenal tissue in a specimen after unilateral salpingo oophorectomy a case report
topic Heterotopic adrenal tissue
Adult
Salpingo-oophorectomy
Case report
url https://doi.org/10.1186/s13256-025-05290-3
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AT ewazabiegło heterotopicadrenaltissueinaspecimenafterunilateralsalpingooophorectomyacasereport
AT robertjach heterotopicadrenaltissueinaspecimenafterunilateralsalpingooophorectomyacasereport