an asymptomatic large adrenal ganglioneuroma in a 34-year-old male: a case report

Introduction: right-sided infective endocarditis, a rare cardiac illness, accounts for 5-10% of cases. it's caused by damage to the heart's endothelium, inflammatory cytokines, tissue factors, and increased fibronectin expression. chronic drug use can damage and seed bacteria on a healthy tricuspid valve. case report: a 34-year-old male patient was diagnosed with an adrenal mass during routine sonography. despite being asymptomatic, further investigations were conducted due to the mass's size. laboratory findings were normal, and an ecg showed no abnormalities. detailed imaging studies confirmed the presence of a large, homogenous mass measuring 103x77mm in the left adrenal gland. the patient underwent open surgery and the mass was removed without complications. histopathological examination confirmed the mass as an adrenal ganglioneuroma.discussion: this case highlights the importance of thorough investigation and management of incidentally discovered adrenal masses, even in asymptomatic patients. it also underscores the significance of diagnostic imaging studies in the diagnosis and surgical planning of adrenal tumors. the patient's progression after surgery was uneventful, demonstrating the effectiveness of surgical intervention in such cases.