Adrenal Myelolipoma

Myelolipoma is a rare benign adrenal tumour. Usually it is small, asymptomatic and unilateral. It is mostly discovered as an incidentaloma during autopsy. Incidental detection of this tumour is increasing in frequency with widespread use of cross-sectional imaging such ultrasonography (USG) and computed tomography (CT). The most consistent complaint is abdominal pain or flank pain. This case is reported as it is rare with a considerable size having symptomatic adrenal myelolipoma. We investigated and evaluated a 32 year old female who presented with chronic, intermittent backache with slightly palpable lump of unilateral myelolipoma. The pathological study revealed adrenal mass consisting of adipocytes associated with hematopoietic elements and blood clots.