Giant adrenal myelolipoma: case report and literature review

CT scout image showed a downward dislocation of the left kidney and a cranial displacement of thetransverse and descendant colon. The left psoas margin was clearly visualised. CT images revealeda 11 x 13 x 16 cm mass in the region of the left adrenal gland that displaced the splenic peduncleand the pancreatic tail anteriorly. The process showed well defined and regular margins. Theinternal structure was heterogeneous including tissue of fat density, solid density areas and stellarcentral calcifications. A marked predominance of fat component was observed. The left adrenalgland was not visualised (Fig. 1-5).Surgical excision was performed: a huge encapsulated mass was found in the left retro-peritonealspace. Histological examination of the lesion was performed.