BACKGROUND: Extraadrenal myelolipomas are very rare tumors, with a cha
racteristic, though nonspecific, radiologic appearance. Tissue samplin
g is necessary for diagnosis, and although mosi of these tumors are as
ymptomatic, surgical excision is often indicated. CASE: A 59-year-old
male teas found to have a large mass within the mesentery of the abdom
en, incidentally discovered during an ultrasound examination for renal
lithiasis. Completed tomography-guided fine needle aspiration biopsy
yielded mature adipose tissue admired with hematopoietic elements, CON
CLUSION: FNA proved to be a rapid and effective modality for the diagn
osis of this distinctly uncommon tumor.