Adrenal myelolipoma :Incidentally discovered mass

Abstract

Introduction: Myelolipoma is a rare benign tumour of the adrenal gland, usually asymptomatic, unilateral and nonfunctioning. It is composed of a variable mixture of mature adipose tissue and hematopoietic elements. Widespread use of imaging modalities has increased the frequency of detection. Case presentation: We report a case of adrenal myelolipoma in a 55-years-old male of Indian origin, who presented with pain in the right flank. Physical examination revealed an intra-abdominal mass. Contrast-enhanced computed tomography (CECT) scan of the abdomen showed a well-defined, round lesion in right suprarenal region with heterogeneous attenuation. The patient was subjected to right adrenalectomy, and postoperative course was uneventful. The histopathological examination of the mass confirmed this as adrenal myelolipoma. Conclusion: Mostly adrenal lipoma is discovered as "incidentaloma" but warrants thorough diagnostic study. Imaging and biochemical assay are useful for planning best treatment modality in a particular case to minimise postoperative complications and assuring fast recovery.