Abstract
Ruptured renal artery aneurysm (RAA) during pregnancy is unusual, and its presentation is often misdiagnosed or delayed in diagnosis. With its high and preventable feto-maternal mortality, RAAs during pregnancy requires a quick and accurate diagnosis to be managed efficiently. We present a rare case of RAA during labor, managed intra-operatively after a successful caesarian section delivery. We conclude that a multidisciplinary approach with a high margin of suspicion is necessary to improve the outcomes of this occurrence.