ADRENAL MYELOLIPOMA IN A 45 YEAR OLD FEMALE: A CASE REPORT

Shruti Chauhan*, Preeti Agarwal, Sachin Sharma, Sudaiv Nagzarkar and Surender Kumar

ABSTRACT

Myelolipoma is a rare benign tumour. They are often asymptomatic, unilateral and non-secreting. Myelolipomas can be adrenal as well as extra adrenal. Advanced imaging modalities, biochemical studies and clinicohistopathological correlation, has led to early diagnosis and hence, increased incidence of these tumours. Case Presentation: We report a case of a 45 year old female from Lucknow, who presented with pain in the right side of abdomen. USG Abdomen showed an echogenic oval lesion suggestive of Haemangioma liver/ right adrenal. CECT Abdomen showed a well defined fat density globular lesion in right adrenal area. Urinary cateholamines and metanephrines were normal. HR USG Neck and FNAC Neck swelling were suggestive of MNG. Patient was operated and right adrenalectomy with excision of the tumor was done. Conclusion: Adrenal myelolipomas are rare benign tumours. Many a times, they are incidentally diagnosed, thereby, require careful diagnostic plans, scrupulous histopathological examination and timely treatment.

Keywords: Myelolipoma, Adrenal gland, incidentaloma.