Transcatheter arterial embolization (TAE) of the ruptured fifth lumbar artery was successfully performed using Gelfoam particles (Figure 3). The patient recovered uneventfully and was discharged 4 days after TAE, without any complications or blood transfusion. After 1 month of follow-up, the patient recovered uneventfully, and no hemorrhage-related complications were observed. Iatrogenic lumbar artery injury during PDN is rare, but may be a serious condition that requires early detection and urgent treatment. Great care should be taken to avoid hemorrhagic complications, and adequate an technique and anatomical considerations are important to avoid these complications. Transarterial embolization, rather than open hematoma evacuation or laparotomy, can be a safe and effective treatment to stop active bleeding. Successful embolization of the bleeding vessel is performed using Gelfoam particles (circle).