71-year-old male was admitted for pneumonia, On physical examination, an el
astic hard mass was palpable in the right upper quadrant abdomen. The patie
nt was normotensive and had no hypertensive symptoms. Laboratory data were
normal. Abdominal Ultrasound and CT scan were showed a tumor with internal
calcification measuring 5cm in the right adrenal gland. Pheochromcytoma was
unlikely. The tumor was excised laparoscopically with 4 trocars under the
abdominal pressure at 10mmHg by CO2 gas. Tumorectomy was performed using La
paroSonic Coagulation Shears, The operation lasted 140 minutes and bleeding
was less than 50ml. Postoperative recovery was rapid and uneventful. Histo
pathological examination revealed the mass to be a hemangioma of the right
adrenal gland. Hemangioma of the adrenal gland is rare anti only 47 cases a
re reported to the best of our knowledge. Almost of the reported cases had
treated with laparotomic excision and our cas,, we belive, is the third rep
ort treated with minimally invasive laparoscopic procedure.