Testicular adrenal rests in a patient with congenital adrenal hyperplasia: US and MRI features

FİTOZ Ö. S., Atasoy C., Adiyaman P., BERBEROĞLU M., Erden I., Ocal G.

COMPUTERIZED MEDICAL IMAGING AND GRAPHICS, cilt.30, sa.8, ss.465-468, 2006 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 30 Sayı: 8
  • Basım Tarihi: 2006
  • Doi Numarası: 10.1016/j.compmedimag.2006.09.012
  • Dergi Adı: COMPUTERIZED MEDICAL IMAGING AND GRAPHICS
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.465-468
  • Anahtar Kelimeler: congenital adrenal hyperplasia, adrenal rest, testis, ultrasound, magnetic resonance imaging, TISSUE
  • Ankara Üniversitesi Adresli: Evet

Özet

We present ultrasonographic and magnetic resonance imaging findings of intratesticular adrenal rests in a 16-year-old patient with congenital adrenal hyperplasia. Scrotal ultrasonography showed bilateral well-delineated homogenous hypoechoic lesions located around the mediastinum testis, which were highly vascularized on power Doppler ultrasonography. Relative to normal testicular parenchyma the lesions were iso- or hyperintense on T1-weighted and hypointense on T2-weighted images. T2-weighted images also showed a target-like appearance caused by a more hypointense peripheral halo around the lesions. The lesions enhanced remarkably on post-contrast images. This case suggests that radiological evaluation of testes, even in the presence of normal physical examination findings, should be included in periodical follow-up of patients with congenital adrenal hyperplasia. Magnetic resonance (MR) imaging is useful in demonstrating the lesions, because the contrast resolution better than with ultrasonography. (c) 2006 Elsevier Ltd. All rights reserved.