Clinical Quiz 1 MICU Pearl: Young lady referred from Women's Hospital to Medical ICU because of abdominal pain, fever and hypotension

Abstract

Young lady referee from women's hospital to Medical Intensive Care Unit because of abdominal pain, fever (Temperature 39°C) and hypotension. She was pregnant 20 weeks on top of intrauterine device (IUD) and was evaluated as intrauterine fetal death. The diagnosis was septic shock due to intra-abdominal infection. Looking for the source of infection, CT abdomen and pelvis was done (Figs. 1 and 2).