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This is the first case report of a catastrophic renal bleeding into the renal collecting system causing hemorrhagic shock in a child after a cardiac catheterization. In this case report, we discuss how we used nontraditional means of endourologic intervention in treating our hemodynamically unstable patient resulting in saving the patient's life and kidney.Background Iatrogenic ureteral injury represents an uncommon, but significant, complication of gynecologic surgery. Endoscopy has typically played little to no role in the trea