Mature Cystic Teratoma of Left Adrenal Gland Diagnosed as Myelolipoma

Abstract

A 32 year old woman who presented with fever, sore throat and abdominal pain that was evolving from last 7 months. A huge mass was palpable in left hypochondrium and left lumbar region. All baselines were within normal range. On ultrasonography, it appeared as well defined diffusely echogenic area in epigastric region likely arising from adrenal/pancreas, while CT scan findings reported a large heterogenous fat containing mass in left supra renal region. On the basis of CT findings, diagnosis of adrenal myelolipoma was made, exploratory laparotomy was done, the adrenal mass was excised and sent for histopathology. The biopsy report has shown that microsection of lesion were composed of benign squamous and pseudostratified epithelium, fat cartilage and glial tissue. Postoperative recovery of patient was uneventful.Keywords: extragonadal teratoma, retroperitoneal teratoma, adrenal myelolipoma, mature cystic teratoma of adrenal gland