Review Question - QID 212812

A 37-year-old woman is brought to the emergency department for acute abdominal pain for the past 2 hours. She reports that the pain is constant, 10/10, and is diffusely spread across her stomach. She reports nausea and 1 episode of vomiting 1 hour ago, painless bloody urine, and paresthesias in her hands bilaterally. The patient claims similar episodes in the past following the use of alcohol, though with milder pain. Her past medical history is significant for pelvic inflammatory disease that was adequately treated 5 years ago. She is currently sexually active with her husband without contraceptive use. Her temperature is 98.6°F (37°C), blood pressure is 148/98 mmHg, pulse is 103/min, respirations are 18/min, and oxygen saturation is 99% on room air. A physical examination demonstrates a patient in acute distress with diffuse abdominal tenderness and decreased sensation of the hands bilaterally. What is the most likely explanation for this patient’s symptoms?