Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSPCUNHA, Fernando CristinaHEERDT, MaikeTORREZ, Pasesa Pascuala QuispeFRANCA, Francisco Oscar de SiqueiraMOLIN, Graziela Zibetti DalBATTISTI, RubiaZANNIN, Marlene2016-02-112016-02-112015Revista da Sociedade Brasileira de Medicina Tropical, v.48, n.5, p.633-635, 20150037-8682https://observatorio.fm.usp.br/handle/OPI/12711In Latin America, Bothrops envenomation is responsible for the majority of accidents caused by venomous snakes. Patients usually present local edema, bleeding and coagulopathy. Visceral hemorrhage is extremely rare and considered a challenge for diagnosis and management. We report the first case of hepatic hematoma owing to the bothropic envenomation in a 66-year-old man who was bitten in the left leg. He presented local edema, coagulopathy, and acute kidney injury. Radiological findings suggested hepatic hematoma, with a volume of almost 3 liters. The hepatic hematoma was gradually absorbed without the need for surgical intervention with complete resolution in 8 months.engopenAccessSnakebiteBothrops envenomationHepatic hematomajararacametalloproteinasescoagulopathyarticleCopyright SOC BRASILEIRA MEDICINA TROPICAL10.1590/0037-8682-0084-2015ParasitologyTropical Medicine