The portal venous pressure reduction by creation of the transjugular intrahepatic portosystemic shunt (TIPS) is a method of the first choice in treatment of patients with Budd-Chiari syndrome secondary to the hepatic vein thrombosis. Authors report a case of a 33-year old woman suffering from a chronic hepatic vein thrombosis due to the anti-phospholipid syndrome, with an intrahepatic inferior vena cava obstruction. Fifteen days after TIPS creation an intrahepatic haematoma and haemoperitoneum were diagnosed. Twice repeated hepatic artery angiogram did not show any source of the intrahepatic haemorrhage and the patient was managed by conservative therapy. This complication seems to be specific for patients with Budd-Chiari syndrome and it is important to know about this possibility.

        Key words: Budd-Chiari syndrome – transjugular intrahepatic portosystemic shunt (TIPS) – intrahepatic haematoma