# Giant adrenal calcification: rare case report and literature review

## TL;DR

A rare case of a very large adrenal calcification in a woman is reported, with successful surgical removal and no recurrence after 18 months.

## Contribution

This is the largest documented case of idiopathic giant adrenal calcification, highlighting the need for better diagnostic and management guidelines.

## Key findings

- An 8.5 × 7.0 × 5.0 cm adrenal mass was successfully removed via laparoscopic surgery.
- No recurrence was observed at the 18-month follow-up.
- The case underscores the lack of evidence-based guidelines for this rare condition.

## 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.