Case Presentation

The patient is a 24 year-old pregnant female at 31 and 6/7 weeksestimated gestational age, who presented to the emergencydepartment with complaint of intermittent right-sided abdominalpain, nausea, vomiting and fevers over the past twenty-fourhours. The patient’s vital signs at presentation were significantfor a heart rate of 130 beats/minute and a blood pressure of 90/32mm Hg. Her physical examination was otherwise unremarkable,and she was initially admitted to the maternal-fetal medicineservice and started on intravenous fluids. Over the next 12 hours,the patient remained tachycardic with blood pressures in the80s/40s. She began to develop respiratory distress, and an ICUevaluation was requested.