Background/aim: Pheochromocytomas (PHEOs) are a rare entity in the common population but have higher prevalence in neurofibromatosis type I (NFI) patients. In combination with pregnancy there are several reports on perioperative complications due to endocrine tumor activity; however, case reports on the malignant course of the disease could not be identified.
Case Report: We report the case of a pregnant female patient with diagnosed NF1, who was referred to our hospital with metastatic PHEO.