Internal iliac artery embolisation for intractable bladder haemorrhage in the peri-operative phase

Intractable haemorrhage from the bladder wall during transurethral resectio n of bladder tumour is uncommon but potentially catastrophic. Internal ilia c artery embolisation is a minimally invasive technique, which is now widel y practised to stop bleeding from branches of these arteries in situations including pelvic malignancy, obstetric and gynaecological emergencies and t rauma. We report its successful use peri-operatively, in an unfit, elderly patient with uncontrolled bleeding.