Unilateral Giant Myelolipoma of the Left Suprarenal Gland: A Rare Case Report
DOI:
https://doi.org/10.31344/ijhhs.v10i3.962Keywords:
Adrenal myelolipoma, adrenal gland, giant adrenal mass, computed tomography, ultrasonographyAbstract
Adrenal myelolipoma is a rare, benign, non-functioning tumor composed of mature adipose and hematopoietic tissue. Adrenal myelolipoma is the second most common benign tumour of the adrenal glands after adrenocortical adenoma. While usually small and asymptomatic, giant variants (>10 cm) can cause mass effect and pain. We report a case of a unilateral giant myelolipoma arising from the left suprarenal gland, detected incidentally on ultrasonography and confirmed by computed tomography (CT) scans. Her ultrasonography revealed a large, delineated mass superior to the left kidney, showing mixed echogenicity with both bright fat-like areas and comparatively hypoechoic soft-tissue regions. A contrast-enhanced CT scan of the abdomen identified a large well-encapsulated left adrenal mass exhibiting fat-equivalent attenuation, with scattered soft-tissue densities suggestive of hematopoietic material. No calcification, necrotic change, hemorrhage, or infiltration of adjacent organs was observed. The left kidney was pushed downward and slightly anteriorly. Imaging plays a central role in diagnosis, characterization, and management of adrenal myelolipoma. Surgical removal of large or symptomatic tumors yields excellent postoperative outcomes.
International Journal of Human and Health Sciences Vol. 10 No. 03 Jul’26 Page: 204-207
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Copyright (c) 2026 Muhammad Sirazul Munir, Mohammed Mehedi Al Zahid Bhuiyan
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