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Adrenal myelolipoma, consisting of mature fat and hematopoietic tissue, is a rare, benign and biochemically inactive tumor. Most lesions are small and asymptomatic, discovered incidentally at autopsy or on imaging studies performed for other reasons. We report two cases of adrenal myelolipoma which were large and causing symptoms and successfully removed by laparoscopic lateral transabdominal adrenalectomy. We conclude that large and symptomatic adrenal myelolipomas can be treated withdoi:10.5455/medscience.2012.01.8021 fatcat:feclfvtb2netdm4cpbpycojn5y