Case report of a 60-year-old male with giant adrenal myelolipoma

Adrenal myelolipoma is a benign neoplasm of the adrenal gland that second most common primary incidentaloma, following adrenocortical adenomas. It composed elements adipose tissue and with varying amounts hematopoietic components. In past, these tumors were discovered at autopsy, an incidence ranging from 0.08% to 0.4%. Today, widespread use radiological studies such as ultrasonography, computed tomography (CT), magnetic resonance imaging (MRI), incidental detection has become more common, constituting up 10-15% masses. The patient was hospitalized for 3-month history discomfort in right flank, swelling over hypochondriac area, constipation, retrosternal burning sensation, early satiety. His vitals stable but per abdominal examination revealed mass hypochondrium. B-mode ultrasound screening tumor. A hematological thrombocytopenia. presence unilateral absence new-onset hypertension CECT suggestive mixed density multiple ill-defined heterogeneously hypodense fat attenuation led diagnosis After correction thrombocytopenia, excised subjected histological evaluation. study results corroborated original myelolipomas. followed 2 months postoperatively found be relieved presenting symptoms no postoperative complications. uncommon, benign, hormonally inactive may present due compression adjacent structures which warrants surgical excision.