International Journal of Academic Health and Medical Research (IJAHMR)   Year: 2024 | Volume: 8 | Issue: 1 | Page No.: 165-171 Diagnosis of Testicular Adrenal Rest Tumors on Ultrasound : A Study of 01 Case Report Download PDF E.Etroubeka ,C.Hajjar , M. Haloua , N. El Bouardi , B. Alami , My. Y. Alaoui Lamrani, M. Maaroufi , M. Boubbou . Abstract: Testicular adrenal-like tissue are found in ACTH hypersecretion syndromes, most often in congenital adrenal hyperplasia CAH attributable to a 21-hydroxylase deficiency. They are detected clinically or systematically on ultrasound scan, generally for young adults. In sonography, they appear as confluent hypoechoic masses, often bilateral, which developed into region of the testicular hilum. They get high in the late stage suggestive damping aspect. In Doppler color they have regular vascular architecture. They generally regress or stabilize after replacement treatment with glucocorticosteroids. Biopsy or seminal vein samples they are not reliable. MRI does little more than ultrasound. Diagnosis involves observation or, ultimately, an orchiectomy. Here we presented a case of a patient with bilateral testicular masses and an adrenal mass which have a common cause in the setting of congenital adrenal hyperplasia.