*Rohit Barsola and Vishnu Kant


Background: Adrenal myelolipoma is a rare, benign neoplasm that is usually asymptomatic, unilateral and nonsecreting. It develops within the adrenal gland and is composed of mature adipose tissue with elements of the hematopoietic series. They are usually identified in adults, either incidentally or if complicated by hemorrhage. There is no gender predilection. We present case of a giant adrenal myelolipoma found in a patient who initially presented with abdominal pain. Case presentation: A 45 year old male patient presented with abdominal distension and pain from about a month. There were no other associated symptoms. On physical examination, he was in good general condition with palpable abdominal mass in left hypochondrium. Abdominal CT showed retroperitoneal lesion arising from the left adrenal gland with predominance of fatty tissue, measuring 22.8 x 14.6 x 20.3 cm, suggestive of giant adrenal myelolipoma. No abnormalities in laboratory tests, as well as in hormonal investigation for adrenal masses were found (non-secretory neoplasia). Conclusion: Adrenal myelolipomas are rare, benign neoplasms of the adrenal gland with varied clinical presentations. This case presents a diagnosis of giant unilateral adrenal myelolipoma presenting with distension of abdomen.

Keywords: Adrenal myelolipoma, non functional incidentaloma, retroperitoneal haemorrhage.

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