Introduction: Adrenal myelolipomas are a rare benign tumor composed of mature adipose tissue and hematopoietic elements. The majority of cases are asymptomatic, most of them are diagnosed incidentally or as a result of developing complications due to the tumor.
Case description: This report presents an unusual case of a 34-year male who suffered pain abdomen after colliding with a motorbike. Abdominal examination revealed distension in right hypochondrium. CECT abdomen confirmed the presence of right adrenal myelolipoma with possibility of hemorrhage. Hence, the patient was successfully managed with right adrenalectomy.
Conclusion: After the initial diagnosis, management of myelolipoma should be done on case-to-case basis. Patients should be made aware of the various complications that could develop in future in case conservative management is chosen.
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