Congenital adrenal hyperplasia with testicular adrenal rests

Case contributed by Utkarsh Kabra
Diagnosis almost certain

Presentation

Precocious puberty

Patient Data

Age: 10 years
Gender: Male

Nodular thickening of bilateral adrenal glands is seen.

Heterogeneous altered signal intensity lesions with irregular outlines are seen, nearly completely replacing the normal testes.

Case Discussion

Findings are suggestive of congenital adrenal hyperplasia with testicular adrenal rests. The patient was found to have a deficiency of the 17-alpha-hydroxylase enzyme.

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