Intraperitoneal bleeding in pregnancy is a rare but life threatening complication associated with a high maternal-fetal mortality. Pregnancy may predispose to aneurysm in the uterine artery which can rupture. Rupture from utero-ovarian veins is one of the causes of intraperitoneal bleeding in pregnancy. The increased blood flow as well as hormonal changes in pregnancy causes the dilatation of these venous plexuses which weakens the walls of the veins. Any increase in abdominal pressure can cause rupture of these veins. Presenting symptoms include acute onset of abdominal pain and maternal hypovolemic shock. Rapid recognition together with prompt surgical intervention and supportive medical treatment is essential to achieve a favourable outcome for both mother and fetus. We report a case of a rupture of utero-ovarian vessels with intraperitoneal bleeding in a 41 year old woman. She was electively admitted for expectant management of placenta previae type IV with 2 previous scars. She complained of sudden onset of severe abdominal pain and looks very pale, no vaginal bleeding. She was hypotensive and collapsed in the ward. She underwent exploratory laparotomy and hysterectomy. Intra operatively noted 3L of intraperitoneal bleeding and rupture of utero-ovarian vessels.