Adrenocortical Adenoma with Foci of Myelolipoma in a Patient of Conn’s Syndrome

Abstract

Adrenal myelolipoma is an uncommon benign tumour usually discovered by chance in patients. It is usually inactive hormonally and composed of mature adipose tissue with normal haematopoietic cells. Rarely, adrenocortical adenoma and adrenal myelolipoma can coexist. We report a case of a 40 years old Indian woman with 3 years history of hypertension. CT scan showed a left adrenal tumour measuring 3×2.6 cm. Clinical history and laboratory result suggests a metabolic disorder like Conn’s syndrome. The patient underwent left adrenalectomy and the histopathology study revealed adrenocortical adenoma with foci of myelolipoma.

Keywords

• adrenal incidentalomas
• primary hyperaldosteronism
• secondary hypertension