Giant adrenal calcification: rare case report and literature review

Abstract

We report the largest documented case of idiopathic giant adrenal calcification in a middle-aged woman, incidentally detected during imaging. Preoperative CT revealed an 8.5 × 7.0 × 5.0 cm left adrenal mass. Retroperitoneal laparoscopic adrenalectomy was successfully performed, with no recurrence at 18-month follow-up. This rare condition lacks evidence-based guidelines, necessitating multicenter studies to refine diagnosis and management.