Angiomyolipoma of adrenal is extremely rare with few cases reported in literature. It usually presents as incidentiloma. We report a case of a 42 years old male patient presenting with pain abdomen, nausea and vomiting. USG abdomen showed features of acute calculus cholecystitis with right adrenal tumour. CECT abdomen revealed heterogenous non enhancing hypodense fatty lesion in right adrenal gland. Biochemical investigations were negative for functioning adrenal tumour. After conservative management of acute cholecystitis, interval cholecystectomy with resection of adrenal tumour was done. Histopathological examination of adrenal tumour showed features of adrenal angiomyolipoma.
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