OBJECTIVES: To report one case of associatedrenal cancer and ipsilateral pheochromocytomatreated by laparoscopic surgery.METHODS: We describe the case of a 67-year-oldfemale presenting with left lumbar pain and recurrent urinarytract infections. Ultrasound and abdominal CTscan were performed revealing renal carcinoma andipsilateral adrenal mass, which was confirmed by MRI.With the diagnosis of left renal carcinoma and possibleadrenal metastasis, laparoscopic left nephrectomy andadrenalectomy were performed.RESULTS: Pathologic study of the specimen reported achromophobic renal cell carcinoma and adrenal pheochromocytoma.CONCLUSIONS: The association of renal carcinomaand pheochromocytoma is unfrequent, as suggested bythe limited available bibliography on the topic. The presenceof an adrenal mass in a patient with history of primarytumor is frequently secondary to metastasic disease,although primary adrenal neoplasia should not bediscarded.