Öz Laparoscopic approach is used as standard surgical approach for most of surgical modalities, even in emergency cases. Laparoscopic appendectomy LA is the standard for appendectomy in advanced clinics. We know advantages of LA. However, complications may occur. The patient was referred to urology outpatient clinic with lower urinary tract symptoms one week after LA. Radiology evaluations showed giant hematoma pressing on bladder. Trocar site injury is one of unwanted complications of laparoscopic procedures because of bleeding, however the surgeons should check for bleeding after removing trocars at the end of operation. Hematoma was evacuated with a catheter that was placed by department of interventional radiology. LA is well established but complications may occur. Moreover, these can be managed by minimally invasive methods