Pelvic trauma can cause significant morbidity and mortality, particularly from severe hemorrhage. Computed tomography (CT) is typically the first imaging study used to evaluate patients with pelvic trauma. CT cystography can be used for imaging the genitourinary system. Multiple modalities, including pelvic binding, pre-peritoneal packing, and operative ligation of the iliac vessels, have been used to control hemorrhage. In patients with ongoing hemorrhage despite binding and/or packing, angioembolization can facilitate hemostasis.