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A 35-year-old otherwise healthy woman was found unconscious on the floor of her room in the delivery ward 3 days after giving birth by a cesarean section. Following primary evaluation and resuscitation, a relaparotomy for assumed internal bleeding was performed, and active bleeding from a splenic artery aneurysm was discovered. The following case report reminds us yet again that the puerperium is a highly unique period in a woman's life during which submerged pathologies surface, and therefore, poses a great challenge to the caring physician. In this article, the authors report the sequence of events leading from the patient's admittance to the cesarean section to her subsequent relaparotomy. A brief review is presented on the literature related to splenic artery aneurysm rupture during pregnancy and the puerperium.