| Summary points: | A 24-year-old Nigerian female presents with weight loss and a 4-month history of hypertension and intermittent bilateral frontal headache. Physical examination, laboratory tests, abdominal ultrasound, computed tomography, surgery, histopathology, and outcome are described; images provided. The authors discuss the potential for accessory adrenal glands as a basis for development of pheochromocytoma. |