Adrenal tumor in type of myelolipoma at 14-year-old girl with congenital adrenal hypertrophy

Abstract

Adrenal myelolipoma is a rare, benign tumor of the adrenal glands, in most cases, a clinically silent, hormonally inactive. Extremely rare occurs in the pediatric population. It may be accompanied by Cushing disease and congenital adrenal hyperplasia as well. Generally, this tumor is detected incidentally during routine imaging tests. The most sensitive diagnostic method to identify myelolipoma is a computed tomography. Asymptomatic tumors do not require treatment, whereas large lesions should be treated surgically. In this case, the myelolipoma tumor was detected in a 14-year-old girl with congenital adrenal hyperplasia and manifested with severe abdominal pain.