Giant Adrenal Myelolipoma Presenting as an Incidentaloma: a Case Report and Review of Literature

Adrenal Myelolipoma is a rare nonfunctional adrenal tumor usually detected incidentally on imaging done for un-related cause or due to compressive symptoms or rarely due to adrenal hormone hyper secretion or malignant transformation.A case of 35years old male was complained with non-specific pain in right thigh for one month duration without history of trauma, musculoskeletal or neurological disorder.The physical examination was un-remarkable except for systemic hypertension and a huge intra-abdominal mass in the right hypo chondrium found, without any complaints.Ultrasound and subsequently CT scan abdomen showed a large well-circumscribed mass arising from the right adrenal gland, measuring 18×13×18cm.The adrenal mass was detected incidentally.The patient with large tumors may have some compressive symptoms.Very rarely a giant tumor is completely asymptomatic and detected incidentally during work-up for the other un-related complain.Herein we describe a case of a young male with giant adrenal myelolipoma detected incidentally.Therefore, it is very significant to diagnose carefully for the planning of therapeutic management.