Adrenal ganglioneuroma; a rare neurogenic tumor in a 25-year-old female

Ganglioneuromas (GNs) are rare benign tumors originating from the neural crest tissue. They characteristically located in posterior mediastinum and retroperitoneum; rarely found adrenal gland. GNs usually hormonally inactive, most of cases detected incidentally. We report a case 25-year-old female who presented with pain abdomen right upper quadrant. Imaging studies showed large well defined hypodense lesion calcification measuring 14.5×11.5×11cm region gland possibility adrenocortical carcinoma was suggested. The patient underwent adrenalectomy histopathological examination revealed ganglioneuroma. This emphasizes that GN can be misdiagnosed preoperatively as presenting symptoms nonspecific imaging characteristics variable. Histopathological is mainstay diagnosis.