A rare cause of abdominal pain and hypotension in pregnancy.

Splenic artery aneurysm rupture is rare. Pregnancy is a significant risk factor and the mortality for mother and fetus is very high if the rupture is undiagnosed or diagnosis is delayed. Patients typically present with abdominal pain and hemodynamic instability. This article describes a woman and fetus who survived a ruptured splenic artery aneurysm.