A 26-year-old woman with neurofibromatosis type I (Recklinghausen’s disease) diagnosed since 5 years, and blood hypertension due to bilateral stenosis of the renal arteries, treated medically and by percutaneous angioplasty. She was admitted to surgery department complaining of abdominal pain and palpitations. The patient had no history of acute or remote trauma. Her physical examination was remarkable for the café-au-lait spotty pigmentation of the skin that is typical of patients with von Recklinghausen’s disease. The patient was hemodynamically stable, with a blood pressure of 144/94 mmHg and a pulse of 88 beats/min. A computed tomography scan revealed an occlusion of the celiac artery, and three non-complicated saccular aneurysms.