IntroductionBleeding due to renal artery pseudoaneurysm is a rare but important complication that can occur after renal trauma, renal biopsy, percutaneous nephrostomy, percutaneous nephrolithotomy (PCNL), and partial nephrectomy. The incidence of this potentially life-threatening complication is less than 1% but is likely to increase with the increasing popularity of endoscopic renal procedures [1]. However, the risk of RAP is higher in the case of PCNL done in a solitary kidney because of the hypertrophy of the renal parenchyma [2]. Renal angiography can be used for diagnosing RAP of an interlobar artery.  Ultrasound guidance is a unique alternative to fluoroscopy for percutaneous renal access. Besides being free of ionizing radiation exposure to the patient and intraoperative personnel, it offers several advantages, including easier identification of the posterior renal calix and surrounding visceral structures [1, 3]. We present a 41-year-old male with a solitary right kidney presented with hematuria and a renal artery pseudoaneurysm post-PCNL and its comprehensive management.