- A 53-year-old female with a history of breast cancer was admitted for an elective ureteral stent placement due to tumor compression of her left ureter - During her hospitalization, she became hypotensive, hypoxic, and unresponsive on post-operative day 2 - Imaging revealed bowel ischemia with pneumatosis and hemoperitoneum likely due to bowel ischemia - She developed septic shock and multi-organ failure and ultimately passed away despite maximal medical management