The management of acute renal failure and hemorrhage in a patient after embolectomy is presented in this article. A 47 yearsâ€Âold female patient was operated for acute arterial occlusion of lower extremity. She developed oligoâ€Âanuric renal failure and needed hemodialysis in postoperative first day. Progressive huge hematoma developed at the site of jugular catheter and bleeding started at all vascular access sites a few hours after hemodialysis. Besides early diagnosis and surgical intervention, meticulous follow up of cardiac, renal and lung functions play very important role in treatment of acute arterial occlusions.
