We report the case of a 47-year-old woman who presented to the emergency room with gross hematuria during liposuction of the abdomen. Computed tomography (CT) using hematuria protocol demonstrated extravasation of contrast at the right ureteropelvic junction and a small urinoma in the right perinephric space. The diagnosis of ureteral tear at the ureteropelvic junction (UPJ) was confirmed. A ureteral stent was placed at surgery. Visceral injuries and other complications associated with liposuction have been described. However, this is the first reported case of a ureteral tear related to liposuction.