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Abdominal vascular injuries are among the most lethal of injuries sustained by trauma patients and their management is fraught with difficulties, presenting numerous challenges for the modern-day trauma surgeon.). To compound the problem, exposure of the retroperitoneal hemorrhaging vessels is quite difficult, and requires extensive dissection and mobilization of the intra-abdominal organs. These maneuvers are time-consuming and fraught with pitfalls, as rapid dissection through large retroperitoneal hematomas can lead to iatrogenic injuries in patients who can ill afford further uncontrolled hemorrhage. Abdominal vascular injuries are rarely isolated. In fact, multiple associated injuries are the rule rather than the exception, increasing not the severity, but also the time needed to repair many of these often critical associated injuries.It is clear that improved outcomes are generally the result of expedient and precise surgical interventions by trauma surgeons with extensive experience in the management of these injuries. Most important, the experience of the trauma surgeon is the key factor in achieving successful outcomes .