Cases of spontaneous retroperitoneal muscle hemorrhage due to a variety of etiologies have been previously documented, with most opting for either supportive management or endovascular embolization. In this case, transfer to a center with interventional radiology facility was not feasible due to the patient's hemodynamic instability. He was instead managed conservatively by correcting the coagulopathy and administering adequate fluid resuscitation. The patient was discharged home well after 2 weeks of hospitalization.