Background: Hysterectomy is one of the most commonly performed operative procedures in the world and hemorrhage continues to be a serious complication of both obstetrical and gynecologic surgeries. The pelvic packing technique is a useful alternative to control pelvic bleeding when standard measures fail. Case: A 45-year-old premenopausal women with a history of pelvic pain and obstructive voiding symptoms underwent vaginal hysterectomy. Intraabdominal bleeding persisted after surgery and relaparotomy was performed. After routine surgical techniques failed to achieve adequate hemostasis, a pelvic packing technique was successfully used to tamponade the pelvic bleeding. Conclusion:When traditional methods of controlling pelvic hemorrhage fail, pelvic packing can be used as an unusual method for intractable pelvic hemorrhage. We successfully used the pelvic packing technique in a premenopousal patient with intractable hemorrhage after vaginal hysterectomy and this technique saved the patient’s life.