title: Doppler ultrasonography and magnetic resonance imaging findings of testicular adrenal rest tissue in a patient with 11 β hydroxilase deficiency. Case report.
abstract: Benign intratesticular lesions are rare; thus, radiological diagnosis is important to avoid unnecessary surgical intervention. Testicular adrenal rest tumors (TART) are the nodular testicular lesions deriving from the adrenal remnant tissue reported in patients with congenital adrenal hyperplasia. We present ultrasonographic (US) and magnetic resonance imaging (MRI) findings of intratesticular adrenal rests in a 16-year-old patient with 11 β hydroxilase deficiency. Scrotal ultrasonography demonstrated bilateral heterogenous hypoechoic lesions located around mediastinum testis and highly vascularized on powerDoppler US. On MRI the lesions were hyperintense on T1-weighted and hypointense on T2-weighted images and enhanced brightly on post-contrast images.
authors.affiliation: Bezmialem Vakif University School of Medicine, Department of Radiology, Istanbul, Turkey.
authors.forename: Issam Cheikh
authors.initials: IC
authors.lastname: Ahmad
authors.affiliation: Bezmialem Vakif University School of Medicine, Department of Radiology, Istanbul, Turkey. temelfatihyilmaz@gmail.com.
authors.forename: Temel Fatih
authors.initials: TF
authors.lastname: Yilmaz
authors.affiliation: Bezmialem Vakif University School of Medicine, Department of Radiology, Istanbul, Turkey.
authors.forename: Ercan
authors.initials: E
authors.lastname: Kocakoç
mesh_terms: D000293:Adolescent; D000312:Adrenal Hyperplasia, Congenital / Q000150:complications*; D000314:Adrenal Rest Tumor / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008297:Male; D013736:Testicular Neoplasms / Q000150:complications / Q000175:diagnosis*; D013737:Testis / Q000000981:diagnostic imaging / Q000473:pathology; D018608:Ultrasonography, Doppler / Q000379:methods*