Adenomatoid tumors are the most commonly located in male and female genital tracts, but they are rarely found in extragenital locations, especially in adrenal glands.~1 These tumors are considered as benign neoplasms of mesothelial derivation, and pathologically show glandular tubules lined by epitheloid cells with intervening trabeculae with a characteristic mixture of adenoidal, angiomatoid, cystic and solid patterns, in addition to focal calcifications and signet-ring like cells frequently.~2 Because of the lack of radiological specificity, there is usually a wide range of differential diagnoses. Radiologically adrenal adenomatoid tumors are commonly solid but rarely may be extensively cystic.~1 We present a case of a giant cystic adenomatoid tumor of the adrenal gland.