Bladder pheochromocytoma in a 10-year-old girl

Pheochromocytoma of the bladder in children is a rare entity that usually presents with the triad of sustained hypertension, hematuria and post-micturitional syncope. The youngest previously reported patient was 11 years old.(1) We report on a 10-year-old girl with pheochromocytoma of the bladder. Not only does this case lower the age of inclusion but the clinical presentation highlights the need for a thorough history and high index of suspicion for accurate diagnosis. Pheochromocytomas in children are more often multicentric and extra-adrenal than they are in adults. Only about 2% of pheochromocytomas in children are malignant but most of these are extra-adrenal.(2)