Pheochromocytoma is a rare catecholamine-producing tumor arising from chromaffin 
tissue in the adrenal medulla, occurring in less than 0.2 percent of patients 
with hypertension. The mean age at diagnosis is about 40 years. 
Pheochromocytomas are commonly inherited as features of multiple endocrine 
neoplasia type 2 or several other pheochromocytoma-associated syndromes and have 
variable clinical presentation. Among the presenting symptoms, episodes of 
palpitations, headaches, and profuse sweating are typical and constitute a 
classic triad. We report a case of a 17-year-old male patient with rare 
bilateral pheochromocytoma presenting with persistent hiccups for 4 months and 
blurring of vision for 1 week, later followed by hypertensive crisis. There was 
neither family history of pheochromocytoma nor any classic symptoms. Patient was 
diagnosed with bilateral pheochromocytoma without any syndromic association. But 
still this patient needs to be followed for future development of medullary 
carcinoma of thyroid because it could be an initial presentation of MEN 
2A/2B/VHL syndromes. Our paper highlights the importance of maintaining a high 
level of suspicion for persistent hiccups and careful clinical screening for 
hypertension even in absence of associated syndromes of pheochromocytoma and 
classical symptoms to achieve prompt diagnosis and to avoid improper management.