DOI: 10.36347/sajb.2016.v04i04.010

Pages: 353-356

Primary teratomas arising from adrenal glands are exceedingly uncommon. They are more common in childhood and rarely occur in adults. We report an unusual case of a giant mature cystic teratoma (Dermoid cyst) arising from a right adrenal gland in 29 years old female. The patient complained of right flank pain for six months. A plain and enhanced computed tomography (CT) scan showed a huge tumor with a mixed density arising from the right adrenal gland. This tumor was composed of large fatty tissue, calcification and small soft tissue with the cystic component as well as a mild enhancement in a part of the tumor. The patient was successfully treated with complete resection of the adrenal mass by the thoracoabdominal approach. We should pay attention to it and close follow-up is indispensable on account of the incidence of malignant transformation which is upto 36%.