Abstract
A 25-year-old patient presented with congenital adrenal hyperplasia and enlargement of the testicles. Adrenal rests is a rare cause of testicular masses, which can be seen in about 29% of patients with congenital adrenal hyperplasia (CAH) and rarely in those with Cushing syndrome. CAH is an autosomal recessive disease characterized by a deficiency of adrenocortical enzymes, particularly 21-hydroxylase. An increase in adrenocorticotropic hormone (ACTH) levels causes hyperplasia of adrenal remnants in the testes in patients with CAH and results in the development of intratesticular masses.
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Baleato, S., Fernández, G.C., Vilanova, J.C. (2012). Scrotum. In: Vilanova, J., Luna, A., Ros, P. (eds) Learning Genitourinary and Pelvic Imaging. Learning Imaging. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-23532-0_5
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