Phaeochromocy tomas are rare catecholamine secreting tumours that usually present as paroxy sms of hypertension associated with headache, palpitations and sweating. We report the case of a 50-y ear-old man with a phaeochromocy toma who presented with sudden onset of hypertension, syncope, and fever who later developed a multiple-organ failure secondary to a multiple organism bacteraemias due to transient episodes of intestinal ischaemia. After receiving full intensive care support, antibiotics and tumour removal, the patient made a complete recovery and he is at present doing well. This case illustrates that high concentrations of catecholamine secreted by a phaeochromocy toma might cause multiple organ failure syndrome secondary to multiple organism bacteraemias due to transient episodes of intestinal ischaemia.