Presentation of one case of bilateral suprarenal pheochromocytoma as early clinical evidence of a type 2 MEN, which at the time of diagnosis was a bilateral lesion. The presentation form was a picture of shock with HBP. Labetalol i.v. was used for initial control and phenoxybenzamine in the pre-operative. Diagnosis was achieved by biochemical (metanephrine) and radiological (CAT) testing. The patient was managed with bilateral suprarenalectomy through a single, anterior incision and abdominal cavity examination. The investigation of the remaining conditions that conform this syndrome was continued and a familial routine study implemented.