| Summary: | Pheocromocytomas are relatively unusual tumors. They are vascularized lesions that, in the 90% of the cases produce arterial hypertension. Generally reported as solid lesions due to hyper-vascularization. They may present areas with focal or partial cystic degeneration. Although infrequent, however, pheochromocytomas with total of subtotal cystic degeneration has been reported and are called cystic Pheochromocytomas. Due to these reasons it was decided to publish the case of a male patient who died at the Gustavo Aldereguía Lima Hospital, aged 65 with a ten year personal history of arterial hypertension, gout arthritis and nausea. He came to the hospital complaining of universal cephalea and nausea. Imaging studies showed a tumorous mass in the suprarenal right gland. During admission he presented a non-cardiogenic severe pulmonary edema which caused his death. The necropsy study confirmed a cystic pheochromocytoma.
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