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Renal hematoma is the most commonly reported complications after percutaneous renal biopsies, but fortunately, these are self-limited in most of the cases with no need for active intervention. Other complications such as arteriovenous fistula, colonic injury, infections, or pneumothorax are much less frequent life-threatening, and stated to occur in <0.1% of cases. We describe a case in which percutaneous renal biopsy is complicated by subcapsular hematoma due to tamponade following which the patient underwent surgical intervention. Although uncommon, sub capsular hematoma may be fatal and requires early intervention to save the graft kidney.