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The management of acute renal failure and hemorrhage in a patient after embolectomy is presented in this article. A 47 years‐old female patient was operated for acute arterial occlusion of lower extremity. She developed oligo‐anuric 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.