Abstract:
Heterotopic adrenocortical rests (HACR) found incidentally along the spermatic cord in children with undescended testicles are probably not very rare congenital anomaly as previously reported.
Because of the migratory nature of the adrenal cortex and medulla during early embryogenesis, the extra-adrenal tissue (adrenocortical rests) can be found anywhere in the abdomen, but typically are located along the anatomic derivatives of the urogenital ridge.
Here, we present 8 cases of heterotopic adrenocortical rest found incidentally along spermatic cord during orchiopexy in children. The embryogenesis and pathophysiology as well as the surgical significance and implication are briefly discussed.
Keywords: heterotopic adrenocortical rest, undescended testis, ectopic adrenocortical tissue
Biography:
Professor Gamal Al-Saied had been graduated from Al-Azhar University with Bachelor’s Degree in Medicine and Surgery with a general grade very good with honor. His rank was the 9 th in the top 10 graduate list of Faculty of Medicine Al-Azhar University Cairo, Egypt. In 1991, He has been completed his Master’s Degree (MSc) in pediatric surgery (1st part, thesis, and 2nd part). Then, he was appointed as a demonstrator of pediatric surgery in 1992, then, an assistant lecturer of pediatric surgery in 1993 at the Pediatric Surgery Department. In 1998, he has been accredited with a Doctorate Degree in Pediatric Surgery (M.D). Then, he was promoted to a lecturer of pediatric surgery at the Pediatric Surgery Department. In 2004, he was promoted to assistant professor of pediatric surgery at Pediatric Surgical department at Al-Azhar University Hospitals. In 2008, he was certified a Fellowship of European Board in Pediatric Surgery (FEBPS), Glasgow, Scotland. In 2009, he was promoted to a full professor of pediatric surgery at Pediatric Surgical department by Al-Azhar University Hospitals. In 2022, he is certified as a Fellowship of American College of Surgeons (FACS) USA. He had two published theses (MSc and M.D) and he supervised many thesis of a Master’s Degree and Doctorate Degree. Also, he has published 37 international researches in international journals of pediatric surgery and one chapter in international text book (CURRENT CONCEPTS OF URETHROPLASTY) Edited by Donkov I. 2011, pp 35-42. He has been invited as an international speaker and chairperson in many international conferences on pediatric surgery. Currently, He is an Editor-in- Chief for two international pediatric surgery journals and editor of thirteen international pediatric surgery journals. He is also reviewer for many international pediatric surgery journals. In 2003, he was the founder and head of pediatric surgery unit at King Abdul Aziz Specialist Hospital Taif, Saudi Arabia. He has a great and long term experience in neonatal and pediatric surgery field (open and laparoscopic). Recently, in the era of COVID-19 and afterwards, he has been invited as an international keynote speaker to many international pediatric surgery webinars.
