PURPOSE Trauma is a core component of surgical care, and includes rapid assessment of patients with presentations ranging from minor abrasions to limb threatening injuries and life threatening haemorrhage. Here we present a case of a 63 year old male who presented to the emergency department (ED) with transient hypotension and hypoxia following a high-speed motor vehicle collision. METHODOLOGY This case report was collated using data including investigations and documentation that was retrospectively analysed using the electronic medical record. RESULTS On presentation to the ED, this patient underwent CT imaging which demonstrated left sided rib fractures, as well as lateral compression fracture of the pelvis. He underwent external fixation of the anterior pelvic ring and posterior sacroiliac screws to stabilise the pelvis. Post-procedure images demonstrated a 52mm ovoid hyperdense structure within the right gluteal musculature, suggestive of traumatic pseudoaneurysm. This was managed with glue embolisation. The patient developed tachypnoea. CT pulmonary angiogram demonstrated linear high-density material within the segmental branches of the left upper lobe consistent with embolised glue mixture. This patient was subsequently treated with a heparin infusion and clinically improved. CONCLUSION This is a case of glue embolism to the pulmonary arteries following embolisation of a traumatic arterio-venous malformation. Although glue embolism is rare, patients present with clinical features identical to a traditional pulmonary embolism usually during or immediately following embolisation. This case affirms the importance of remaining vigilant for glue embolism as a complication in the setting of trauma management.