Appendicular abscess: as a masquerader and pheochromocytoma as an incidentaloma in a 12 year old male child

A 12 year old boy presented initially with symptoms suggestive of urinary tract infection (UTI). Later, it turned out to be acute appendicitis with appendicular abscess. Pre-operative investigations revealed co-presentation of pheochromocytoma. Although this child was having no symptoms of pheochromocytoma, the presentation of phaechromocytoma with appendicular abscess needs to be dealt with extreme vigil as pheochromocytoma can result in severe sympathetic outburst storm. Laparoscopic appendicectomy was done and the child was discharged after complete recovery.