Giant adrenal ganglioneuroma: Case report and literature review

Adrenal ganglioneuroma is a benign tumor of the sympathetic nervous system, composed gangliocytes and mature neural stroma. The asymptomatic in majority cases mostly accidentally detected diagnostic imaging due to health check. When large, it causes symptom such as abdominal pain or discomfort. We report case adrenal incidentally 25-year-old male patient. physical examination laboratory tests were normal ranges. However, magnetic resonance showed large heterogeneous right mass measuring 16.8 x 14.1 cm. Histological biopies confirmed an ganglioneuroma. A adrenalectomy by laparotomy was carried out. renal artery injured during dissection repaired with end-to-end anastomosis. During postoperative period, patient experienced pleural effusion requiring needle aspiration. No recurrence occurred 6-month follow-up.