Vasa previa is a rare but serious medical condition characterized by a velamentous insertion of fetal blood vessels onto the placenta, which places those vessels at high risk of rupturing with rupturing of the membranes. Often vasa previa goes undetected until fetal compromise ensues following rupture of membranes. A recent case report of a 25-year-old pre-eclamptic female demonstrates the emergent and fatal nature of undiagnosed vasa previa.