外科ジャーナル

Myelolipoma: A Rare Adrenal Incidentaloma

Abstract

Debajyoti Pathak, Anshuman Tiwari, Subhobroto Das, Sandip Halder and Nilanjan Panda

Background: Myelolipoma is a rarely encountered, adrenal incidentaloma diagnosed on the basis of its radiological features.

Aim: To describe a rare presentation with dual pathology.

Case presentation: Our patient, a 40-year-old lady presented with menorrhagia along with a large palpable uterine fibroid. Abdominal CECT detected a large, eight centimeter, left adrenal myelolipoma. After other possibilities were ruled out she underwent left adrenalectomy. Histopathology of the specimen revealed features of myelolipoma. She had an uneventful recovery and doing well now at six months follow up.

Conclusion: We present herewith a case of this uncommon tumour with dual pathology and discuss the clinical radiological and pathological features of adrenal myelolipoma.