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With the increasing trend of caesarean delivery, spinal anaesthesia is the most common anaesthetic procedure performed today. The most common complication following this procedure is post spinal headache. However, more dreadful and devastating complication like Subarachnoid Haemorrhage can occur and should be considered in case of persistent headache. We present a case of Subarachnoid Haemorrhage (SAH) following spinal anaesthesia in a woman who underwent full-term caesarean section. Post spinal anaesthesia, she had continuous headache and vomiting. On fourth postoperative day, headache was aggravated and imaging studies revealed subarachnoid haemorrhage with intraventricular bleeding. This article discusses the consideration of SAH following dural puncture, its differential diagnosis and management. Post spinal headache should always be evaluated properly taking into consideration the various differential diagnosis of postoperative headache. Dreadful complication like SAH should be timely diagnosed and treated for better outcome.

Renal angiomyolipoma is a rare benign tumour and its occurrence during pregnancy is even rare. It is usually diagnosed incidentally. It can increase in size during pregnancy and can present acutely as rupture with retroperitoneal haemorrhage, mechanism of which is still unclear. We present a case of successful pregnancy outcome in a patient with congenital solitary kidney affected by angiomyolipoma, diagnosed incidentally at 19 years of age. The patient had conceived twice. Her antenatal and post partum period was uneventful both the times.