title: Mature ganglioneuroma of the adrenal gland as a new rare cause of visible haematuria: A case report & literature review.
abstract: BACKGROUND
  Ganglioneuromas are benign tumours of the sympathetic ganglia and the adrenal glands medulla. We describe a case of a fit and well 18 year old Caucasian male patient who initially presented to primary care with intermittent episodes of painless frank haematuria as well as some non-specific right-sided loin pain.
  
  
  METHODS
  In this 18 year old man, initial ultrasound investigations at a 'one stop haematuria' clinic revealed the presence of an echogenic solid mass of 120×110×90mm around the upper pole of the right kidney. A CT scan of the abdomen proved inconclusive to further determine the aetiology of the mass. Following a local multidisciplinary meeting (MDT) an MRI of the abdomen was undertaken which confirmed the presence of a large right adrenal mass. A biopsy was taken to determine the histology of the mass confirming a mature ganglioneuroma. The patient subsequently underwent surgery within 6 weeks of having presented to his general practitioner.
  
  
  CONCLUSIONS
  The surgery was uncomplicated and excision of the mass was made via a thoraco-abdominal approach. The patient recovered well post operatively and was discharged home within 8 days with outpatient follow-ups organised.
authors.affiliation: Department of Urology, Royal Derby Hospital, Derby, United Kingdom. Electronic address: adil.jaulim@nhs.net.
authors.forename: A
authors.initials: A
authors.lastname: Jaulim
authors.affiliation: Department of Urology, Royal Derby Hospital, Derby, United Kingdom.
authors.forename: N
authors.initials: N
authors.lastname: Nkwam
authors.affiliation: Department of Urology, Royal Derby Hospital, Derby, United Kingdom.
authors.forename: S
authors.initials: S
authors.lastname: Williams
keywords: Adrenal ganglioneuroma; Haematuria