Pheochromocytoma of the bladder in children is a rare entity that usua
lly presents with the triad of sustained hypertension, hematuria and p
ost-micturitional syncope. The youngest previously reported patient wa
s 11 years old.(1) We report on a 10-year-old girl with pheochromocyto
ma of the bladder. Not only does this case lower the age of inclusion
but the clinical presentation highlights the need for a thorough histo
ry and high index of suspicion for accurate diagnosis. Pheochromocytom
as in children are more often multicentric and extra-adrenal than they
are in adults. Only about 2% of pheochromocytomas in children are mal
ignant but most of these are extra-adrenal.(2)