We describe a rare case of iatrogenic injury to the upper abdominal ao
rta during spine surgery. The case is reviewed, and diagnosis as well
as management of this injury is discussed. No similar previous reports
of iatrogenic injury to the upper abdominal/lower thoracic aorta were
identified in die literature. Reports of iatrogenic injury to the low
er abdominal aorta during spinal surgery have been frequent. With more
aggressive operative treatment of spinal disorders, injury to tile up
per abdominal/lower thoracic aorta may become more common. Timely diag
nosis and treatment are essential to prevent both early and delayed co
mplications and death.