Synchronous paraganglioma is a rare neuro-endocrine neoplasm observed in patients of all ages, but it has not been characterized in adolescents. The authors describe a retroperitoneal paraganglioma combined with concomitant carotid body tumor diagnosed in a 17-year-old patient. Traditionally, surgical resection of abdominal paraganglioma involves an exploratory laparotomy, but in this case, laparoscopic resection was done. In this article, we review the literature on multiple paragangliomas and the current treatment.