The cord was clamped, ligated, divided and marked with blue polypropylene suture, before being tucked into the deep inguinal ring. The left side was not explored and no lymph node dissection was undertaken pending the final pathology results. The final diagnosis, after consultation with the Armed Forces Institute of Pathology (AFIP) was adrenal rests replacing normal testis, probable adrenogenital syndrome. It is not unusual for adrenal rests to be mistaken for a Leydig cell tumor. The hormonal defect awaits definitive characterization.
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