Adrenal teratomas are very rare unusual tumors derived from germ cell layers. Most patients present with mass effects like abdominal pain and are nonfunctional biochemically. Computed tomography (CT) scan image of large heterogeneous density adrenal mass with fat, bone/calcified contents is usually characteristic of adrenal teratomas. Excision is the treatment of choice and intraoperatively also we can see the heterogeneous mass. Majority of these tumors are benign and only less than one-third have malignant potential.
We present a 27-year-old female who presented with abdominal pain and on evaluation was found to have a large nonfunctional right adrenal mass. The CT scan and intraoperative images are shown in Figures 1 and 2. We did open transperitoneal right adrenalectomy and she is doing well in the last 1 year of follow-up.
Adrenal Teratoma Radiological image showing large heterogeneous density adrenal mass with calcifications.Intraoperative specimen showing large adrenal mass with variegated consistency, soft yellow fat component and hard calcified components and other firm areas.