Waltman Walters syndrome^[1] is characterized by accumulation of bile in the right subphrenic or subhepatic space, even when provision for drainage appears to have been adequate after a cholecystectomy. It is named for Dr. Waltman Walters, an abdominal surgeon at the Mayo Clinic in Rochester, MN.

Upper abdominal or chest pain associated with tachycardia and persistently low blood pressure due to compression on IVC are cardinal signs and are mistaken for coronary thrombosis.

Ultrasonography will show collection in subphrenic or subhepatic space.

Abdominal reexploration and drainage of bile is curative.