Abstract
Lipomatous ganglioneuroma's are exceedingly rare benign tumours. They originate from the neuroepithelium along the sympathetic ganglia. These rare tumours have been reported generally in the posterior mediastinum and retroperitoneum. We describe a case of a lipomatous ganglioneuroma in the adrenal gland. This case is unique as it has a lipid poor appearance on computed tomography with normal metabolic activity. To our knowledge this is the second case reported within the adrenal gland.