DOI: 10.36347/sjmcr.2016.v04i12.015

Pages: 926-930

Primary adrenal teratoma is an exceedingly rare adrenal neoplasm which is more common in infants and children. It is usually considered as a benign neoplasm but malignant transformation is a known complication in teratomas. Thus, it is important to diagnose and treat this condition at the earliest. Diagnosis can be suggested by imaging but a definitive diagnosis requires histopathologic evaluation. Surgical excision is the treatment of choice and prognosis is excellent. We report a case of mature cystic teratoma of right adrenal gland in a 17-month-old female child who presented with swelling in the right flank. Characteristic features of teratoma were demonstrated on imaging and a definitive diagnosis was made on histopathology. The patient was managed with open surgical excision through retroperitoneal approach. There was no complication and the patient was subsequently discharged.