Objective: Adrenal tumors occur in approximately 4–10% of the general population, and their detection rate has increased with age as a result of a widespread use of imaging studies. They are most often detected incidentally during imaging performed as a part of diagnostics of unrelated conditions . We report the case of an 26-year-old man with an incidentally discovered right-sided adrenal mass.

Methods: We present the adrenal tests, computed tomography, and magnetic resonance imaging results and treatment of a young man with an adrenal mass that proved to be a ganglioneuroma.

Results: A computed tomography scan showed Stable appearance of the right solid adrenal mass measuring 9.5 x 9.5 x 7.4 cm with contrast . Magnetic resonance imaging was Stable fat-containing right adrenal mass / typical of a lipid-rich adenoma. Blood and urine tests demonstrated normal secretion of cortisol, aldosterone, adrenal androgens, and catecholamines. Based on the patient’s age and imaging studies, he underwent a ROBOTIC ASSISTED LAPAROSCOPIC RIGHT ADRENALECTOMY , removing a 9.5 x 9.5 x 7.4 cm ganglioneuroma.

Results: A computed tomography scan showed Stable appearance of the right solid adrenal mass measuring 9.5 x 9.5 x 7.4 cm with contrast . Magnetic resonance imaging was Stable fat-containing right adrenal mass / typical of a lipid-rich adenoma. Blood and urine tests demonstrated normal secretion of cortisol, aldosterone, adrenal androgens, and catecholamines. Based on the patient’s age and imaging studies, he underwent a ROBOTIC ASSISTED LAPAROSCOPIC RIGHT ADRENALECTOMY , removing a 9.5 x 9.5 x 7.4 cm ganglioneuroma.

Conclusion: The differential diagnosis of an adrenal mass in children and adolescents is quite different compared with adult patients. Adrenal ganglioneuromas usually asymptomatic, non-secreting has a negative endocrine profile tumor , but it has the potential to mimic other adrenal cancers when it comes to imaging findings; thus, the importance of its removal in order to obtain post-operative pathological identification.