Abstract
A 19-year-old woman underwent lumbar discectomy at another hospital. She developed hypotension and abdominal distension during surgery. Abdominal computed tomography (CT) revealed a left common iliac artery injury. She was admitted to our hospital and underwent an emergency operation. A large retroperitoneal hematoma was found, and the left common iliac artery had completely ruptured. The injured artery was repaired with an interposition of a graft. Surgeons should be aware of the possibility of this event. When there is a high possibility, prompt diagnosis and surgery are required.