New and minimal invasive single incision mid-urethral sling procedures are available for treating female stress urinary incontinence. We present a case of a massive retropubic hematoma in a patient with a "corona mortis" artery following a minimal invasive sling procedure. The patient was managed conservatively. The hematoma resolved and the patient remained continent after surgery. Nature and symptoms of sling-related complications should prompt the diagnosis and appropriate postoperative management. One should always be conscious of possible vascular anomalies that might lead to unexpected complications.
Keywords: Arterial anomaly; corona mortis; hematoma; mid-urethral sling; minimal invasive; sling procedure.