Adrenal Myelolipoma a Rare Benign Neoplasm and its Imaging

Myelolipoma is a rare benign neoplasm which tends to predominantly occurs in adrenal gland. Most commonly it is asymptomatic smaller in size and rarely it reaches larger in size and may cause chronic abdominal pain. Histologically myelolipoma consists of mature fat elements interspread with scattered hematopoietic elements To prevent the complications and for accurate diagnosis of the same surgical excision is the choice of management. A 35 year old male patient presents with complaints of chronic right flank pain and abdominal lump since 6 months and with acute increase in pain since 3 days. On examination patient has abdominal distension, tenderness, tachycardia and Bloodpressure measures 100060mm hg. He was advised to undergo abdominal USG and CECT abdomen pelvis was performed for complete workup. Then the surgical team decided to take him up for surgery for both therapeutic and diagnostic purpose. For this patient in this scenario where myelolipoma is complicated by hemorrhage sonographical picture will be altered and it becomes more echogenic in echotexture as compared to the fat content hence CT is much more beneficial if it is complicated by hemorrhage. MRI use depends on the amount of fat content in myelolipoma.