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Hernia. 2009 Dec;13(6):659-662. doi: 10.1007/s10029-009-0501-6.

Aberrant adrenocortical tissue in hernia sac occurring in an adult: case report and review of the literature.

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  • 1Department of Pathology and Laboratory Medicine, William Osler Health Center, Brampton Civic Hospital, Northern Ontario School of Medicine, 2100 Bovaird East Drive, Brampton, Ontario, Canada.


Aberrant adrenal tissue is rare, particularly in adults. To the best of our knowledge, only eight cases have been reported in the English literature. Awareness of the possible occurrence of adrenal tissue in hernial sac is crucial, as these rests may have several clinical implications. These potential implications include hyperplasia, adrenal insufficiency, neoplastic transformation and misdiagnosis as metastatic clear cell carcinoma. We report a rare case of aberrant adrenocortical tissue in hernial sac. We review the literature and highlight the clinical implications of this incidental finding.

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