This 47-year-old female presented with an acute subarachnoid hemorrhage due to an irregularly shaped aneurysm arising from the internal carotid artery at the region of the posterior communicating artery segment. Pretreatment, treatment, and follow-up images are presented. Pretreatment angiogram shows an irregularly shaped aneurysm arising from the internal carotid artery at the region of the posterior communicating artery segment. Lateral view angiogram shows the aneurysm to measure 6.0 mm in height, 7.5 mm in width, with a 2.0 mm neck. A pre-shaped Prowler microcatheter is placed in the aneurysm, and 6 TRUFILL DCS coils are placed into the aneurysm without complications. Follow-up angiogram shows excellent conform ability of the coils within the irregular shape, and occlusion of the aneurysm. At one year follow-up the patient has made an excellent recovery with continued occlusion of the aneurysm.