Transcatheter embolization has proved to be an effective treatment for
patients presenting with pelvic haemorrhage. Superselective catheteri
zation with microcatheters facilitates the approach to the bleeding ve
ssel and enables safer and more effective embolization. A 45-year-old
man was admitted to hospital after blunt trauma to the left gluteal re
gion. He complained of a painful enlarging mass in the left gluteal re
gion. Radiography of the pelvis revealed absence of fracture. Selectiv
e angiography displayed significant extravasation from the left superi
or gluteal artery. Embolization was performed. The patient was dischar
ged 2 days after admission with a resolving left gluteal haematoma.