ABSTRACT
Splenic aneurysm rupture during pregnancy is an uncommon, obstetric acute emergency which requires prompt communication between the obstetrician and the surgeon. Our case illustrates the importance of suspecting the condition early, and prompt surgery in order to salvage the mother and the fetus. The obstetrician should entertain strongly the diagnosis of ruptured aneurysm of the splenic artery in a pregnant woman who complains of pain in the left upper quadrant, especially in the third trimester irrespective of her clinical status. We did not suspect the condition early enough and as a result could not salvage the fetus. The maternal and fetal survival depends on the awareness of this rare condition and immediate surgery to deliver the fetus and arrest hemorrhage