Ablative surgery to completely eradicate cancer may injure or necessitate ligation of major vessels. Unplanned necrosis of intact adjacent tissues and/or organs may result due to insufficient blood supply. We report a case in which a free inferior rectus abdominis musculocutaneous flap was successfully used as a bridge flap. Reconstruction of a soft tissue defect as well as revascularization of an ischemic organ (the tongue) was simultaneously achieved with a single flap transfer. To the best of our knowledge, this is the first report of a free inferior rectus abdominis musculocutaneous flap used successfully as a bridge flap.