Abstract
Adrenal myelolipoma is a rare disease entity that is usually asymptomatic and found in elderly patients. We report the case of a young female patient with this tumor who presented with spontaneous retroperitoneal hemorrhage. The 32-year-old woman suffered from acute onset of right loin pain and visited our emergency department. She had no specific history of any medical disease. A bulging mass was palpable in the right upper area of the abdomen. Other than anemia, complete blood count was normal. Serum adrenocorticotropic hormone, plasma renin activity, aldosterone, and 24-hour urine vanillylmandelic acid levels were all within normal limits. Abdominal computed tomography showed retroperitoneal hemorrhage of a large tumor with fat density in the right suprarenal region. The tumor was surgically removed. Pathological findings revealed a proliferation of adipocytes and myeloid tissues, which were compatible with adrenal myelolipoma. She had a smooth recovery, and was stable at the 6-month postoperative follow-up.
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