DOI: 10.36347/sjmcr.2017.v5i08.014

Pages: 498-501

Major depressive disorder & somatic pain are commonly associated and frequently presented in Psychiatry outpatient department. Proper treatment of depression leads to simultaneous relief of somatic pain. Here we report a case presented with features of moderate depressive episode with vague somatic pain at multiple sites. Antidepressant and psychotherapy helped the patient to recover from depressive symptoms and most of the somatic pain, but the pain in right flank persisted. On imaging a rare, large, non secreting adrenal tumor i.e. adrenal Myelolipoma in the right side was found. This rare tumor was the underlying etiology of the right flank pain which was mistakenly thought to be somatic pain initially.