We present a patient with retroperitoneal hematoma suspicious of inferior v
ena cava injury after catheterization for hemodialysis. Emergency computed
tomography revealed extensive retroperitoneal hematoma and inferior vena ca
va angiography revealed extravasation. Emergent laparotomy was performed an
d repaired the perforation of inferior vena cave. His postoperative courses
were uneventful and he remains well after the operation.