Adrenal cortical carcinoma discovered incidentally in a patient with biliary colic

Adrenal masses are often found on abdominal imaging studies that were performed to evaluate other diagnoses or nonspecific symptoms. Various opinions on the workup and treatment of these adrenal incidentalomas are readily found in the literature. We report a case of a young woman whose workup for symptoms of biliary colic led to the discovery of such a mass. The mass was found to be an adrenal cortical carcinoma with no evidence of lymphatic or capsular invasion.