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Management of pelvic bone fracture patients with retroperitoneal hematoma require particular attention in case of hemodynamically unstable state, as their mortality rate is high. Coordinated involvement and sophisticated support of trauma surgeon, radiologist and orthopaedic surgeon are mandatory. Angiography and embolization, and external fixation of pelvic fracture are the choice of treatment in those cases. We experienced a patient who had retroperitoneal hematoma caused by injury of internal pudendal artery with pelvic bone fracture and managed with angio-graphic embolization of internal iliac artery.