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Keywords: pheochromocytoma , acute massive blood loss , cardiac arrest , CPR , massive transfusion , postoperative bleeding , thoracolaparotomy

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We present hereby a case report of 65 years old female scheduled for laparotomy for excision ofhydatid cyst liver diagnosed on ultrasonography and CT scan, but on laparotomy unexpectedly it turned out to bepheochromocytoma right adrenal and was further complicated by rupture of tumour, avulsion of inferior vena cava,massive haemorrhage, leading to cardiac arrest. Detailed in this report is the management of unexpectedpheochromocytoma, treatment of acute severe haemorrhage with massive transfusion and resuscitation and revivalof patient from cardiac arrest with CPR.


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