DOI: 10.36347/sjams.2019.v07i02.088

Pages: 848-851

Introduction: Ganglioneuromas are benign, well differentiated tumors arising from the sympathetic nervous system. However, they arise rarely in the adrenal glands. Ganglioneuroma (GN) is a very rare (0–6% of incidentalomas) tumor that arises from sympathetic ganglion/chain and is made of mature ganglion cells, Schwann cells, neurites and nerve fibers. Most cases of adrenal ganglioneuromas are incidentally diagnosed since they are mostly asymptomatic and produce symptoms rarely due to compression of neighboring structures. Case Report: We hereby present a rare case of an adult patient followed by a benign colic sigmoid polypeptide with epigastralgia for which a pelvic abdomino CT scan was requested, demonstrating a left 56 mm adrenal mass. The patient was referred to the incidental alert service, with a non-secretory adrenal mass. The patient was operated with left adrenalectomy, with anatomo-pathological study a mature benign ganglioneuroma, of the very rare tumors reported in literature. Conclusion: The diagnostic approach to an adrenal incidentaloma is well codified, determining a precise etiologic orientation, since thorough endocrine exploration and radiological characteristics confirm the accurate diagnosis of certain tumors. Although in certain cases confirmation of diagnosis can only be made by histological examination, as is the case with this patient. Adrenal ganglioneuromas occur rarely and difficult in diagnosing preoperatively since symptoms vary and are mostly nonspecific. Ganglioneuroma should not be missed as a differential diagnosis of an adrenal mass. Although in certain cases confirmation of diagnosis can only be made by histological examination, as is the case with this patient.