A bladder flap haematoma (BFH) is an unusual complication of caesarean section and results from bleeding at the uterine suture. This haematoma arises between the posterior bladder wall and lower uterine segment. On ultrasonographic examination, it appears as a solid area or a complex mass with clean walls and reinforcement of the distal echoes. No clear and defined protocol exists for clinical management of BFH; in more severe cases, when the blood loss is continuous or if it transforms into an abscess, it needs non-standardized surgical treatment. When surgery is performed, usually the BFH is only drained, reserving hysterectomy for severe uterine necrosis, myometritis or abscess formations. In our experience, we have performed two conservative laparoscopic treatments with drainage of the BFH.