When is a testicular tumor considered in the evaluation of an abdominal hernia?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

A testicular tumor is usually presumed when splenogonadal fusion presents as a scrotal mass. Recognition of splenic tissue on frozen-section examination eliminates the need for orchiectomy. A 2- to 4-mm mass of yellow-tan tissue found in 2.5% of hernia repairs is an ectopic adrenal rest. The proximity of the developing testis and the adrenal gland invites adherence of the two structures, with the adrenal fragment accompanying the testis into the ectopic position.


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