Abstract:
Adrenal myelolipoma is characterized by presence within the adrenal gland of mature adipose tissue and active bone marrow elements.
Owing to their non functional nature most cases are incidental, either at autopsy or through computer tomography scan. Occasionally the
lesions attain a large size to become clinically apparent. We present a case of a 58-year-old female with mass per abdomen. Preoperative
computer tomography scan of abdomen, hormonal and urine analysis showed features of non functional adrenal myelolipoma. Gross
specimen consists of unilateral ovoid mass, external surface having capsule with adherent fat and areas of congestion. Microscopic
examination showed well encapsulated tumour tissue composed of mature adipose tissue with major blood forming elements like myeloid,
erythroid and megakaryocytic series. The diagnosis was confirmed by histopathological examination of right sided adrenalectomy
specimen.
