Objective:

To describe a case of ruptured subcapsular hepatic hematoma as an uncommon complication of a retrograde endoscopic cholangiopancreatography.

Design:

Case report.

Description of the case:

The following case of a 49-year-old woman who developed an intrahepatic subcapsular hematoma, afte r a retrograde endoscopic cholangiopancreatography with sphincterotomy and lithium extraction. Whose procedure requires the passage of a guide (hydrophilic or metallic). Patient who has bad evolves at 48 hours with abdominal pain, in epigastrium and right hypochondrium, fever. Who enters the operating room observing the subcapsular rupture hepatic hematoma and hemoperitoneum. Packaged and later unpacked. With good postoperative evolution. The importance is to report one more case to the few that exist.