31st July 2023

A 20-year-old woman attends the A&E with left-sided abdominal pain

A 20-year-old woman attends the A&E with left-sided abdominal pain. Whilst waiting to be seen, she collapses in the waiting room. She is promptly brought into the resuscitation bay. Her BP is 87/52 mmHg, HR 134 bpm, temperature 36.8oC, RR 23, and SpO2 98% on 15 L. On examination, the left iliac fossa is tender and she is guarding.

What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.