Background: Large adrenal tumors were initially believed to be a relative contraindication to laparoscopic adrenalectomy.
Methods: Here we discuss the case of a 42-year-old female with a 12-cm adrenal mass.
Results: The patient underwent successful laparoscopic resection, and pathology revealed a cavernous hemangioma, a rare benign tumor of the adrenal gland.
Conclusion: The following is a discussion of the case, laparoscopic resection technique, and brief review of adrenal hemangiomas. In experienced hands, adrenal mass size should not be considered a contraindication to laparoscopic intervention.