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Myelolipoma is a combined lesion involving mature adipose tissue and bone marrow elements. Adrenal gland is the commonest site of myelolipoma. Usually these lesions are asymptomatic, unilateral and small in size. Occasionally myelolipomas become enormous and symptomatic depending on the location. Here we describe a case of bilateral giant adrenal myelolipoma presenting with abdominal pain. The case was managed surgically without any post-operative complications.