Ganglioneuromas are benign and well-differentiated tumors of the sympathetic nervous system. They arise from the great sympathetic chains extending from the base of the skull to the neck, mediastinum, retroperitoneum and adrenal glands [1
]. Ganglioneuromas of the adrenal gland are extremely rare. These tumors affect preferentially young people with the majority reported to occur before the age of 20. These tumors are usually asymptomatic and are hormonally silent. When symptomatic, they present with non-specific symptoms related to their size or location with compression of neighboring structures [3
Since adrenal ganglioneuromas are extremely rare, they are usually found through routine work-up for unrelated conditions [1
]. Their most significant differential diagnosis is neuroblastoma tumors. Histopathological examination is currently the only tool to definitely diagnose this pathology. In the era of frequent use of CT scans for diagnosis as well as the use of laparoscopy in the management of incidental adrenal findings, awareness for this pathology is warranted.
We herein describe a rare case of adrenal ganglioneuroma which was treated in our department. This entity is scarcely reported in the English literature.