Objective: To report the case of an adrenal pheochromocytoma presenting as a retroperitoneal haemorrhage.

Methods: 53 year old patient without previous medical history who presents with a spontaneous retroperitoneal haemorrhage.

Results: CT-scan was performed showing a retroperitoneal collection. The patient underwent emergency adrenalectomy with a final histopathologic diagnosis of pheochromocytoma.

Conclusion: Pheochromocytomas can occasionally present as Wünderlich's syndrome, needing radical surgery as treatment for its resolution.

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