Background:

Pheochromocytoma is a neuroendocrine neoplasm located in the adrenal medulla.

Objective:

To highlight the importance of physical examination and the detailed clinical practice, despite the new diagnostic means that are currently available.

Case presentation:

A 17-years-old male patient with left adrenal incidentaloma, initially classified as an abscessed renal tumor, whose surgical specimen biopsy finally showed that it corresponded to a benign pheochromocytoma it is presented. The catecholamine determination was normal, the computed tomography revealed a retroperitoneal mass that involved the left kidney and adrenal. The neoplasm was resected and he was discharged in good condition.

Conclusions:

Pheochromocytoma is an infrequent and complex pathology, whose surgical resolution is necessary.

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