Abstract
An 85-year-old female underwent Tenckhoff catheter removal. The catheter had been inserted 6 years ago via a transrectal (paramedian) approach. Three hours after the catheter removal, a large subcutaneous hematoma (diameter : >10 cm) developed. The patient was taken to theater, where the injured inferior epigastric artery was ligated, and the hematoma was evacuated. The patient’s recovery was uneventful. During the removal of a Tenckhoff catheter that was inserted via a transrectal approach, the risk of inferior epigastric artery injury should be considered.