A 57-year old woman was admitted to ED for sudden onset of upper abdominal pain and vomiting. The patient has a type 1 diabetes and laparoscopic tubal sterilization. CT imaging was performed.

Can you identify the complication from the attached CT image? *This case is from Docplexus editorial team for educative purpose only. Source: NEJM Stay connected, the answer will be posted in the next 48h!