Abstract
We report an extremely unusual finding discovered incidentally during a routine pathologic evaluation of a fallopian tube, surgically removed on the grounds of ectopic pregnancy. We came across a minute yellowish nodule situated within the wall of the salpinx, which corresponded to ectopic adrenal cortex, as verified by microscopical examination, and coexisted with salpingitis isthmica nodosa. A research of the available English literature on this subject confirmed the rareness of the entity we encountered. This case is presented because of its uniqueness, aiming to raise awareness of a rare condition which is discussed along with potential diagnostic dilemmas, its prognostic significance, and possible complications.
Highlights
Adrenal glands are normally situated on the kidneys and have a double embryological origin [1]
We report an extremely unusual finding of adrenal cortical rest within the wall of salpinx, which is an extremely rare site [4,5], in an older female, which is even more unusual
The adrenal remnants remnantsaway awayfrom fromthe the normally expected of glands
Summary
Adrenal glands are normally situated on the kidneys and have a double embryological origin [1]. Ectopic adrenal tissue is generally rarely observed and is usually a random finding [2]. We report an extremely unusual finding of adrenal cortical rest within the wall of salpinx, which is an extremely rare site [4,5], in an older female, which is even more unusual. The lesion was discovered incidentally during a routine pathologic evaluation of a fallopian tube, surgically removed on the grounds of ectopic pregnancy. This case is presented because of its uniqueness, aiming to raise awareness of a rare condition which is discussed along with the pathogenetic mechanism responsible for the lesion’s occurrence, potential diagnostic dilemmas, its prognostic significance and possible complications. Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations
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