FCOG-1203

FCOG-1203

A 37-year-old female at her 33 weeks of gestation who sustains a road traffic accident at 90 km/hour, is taken to the emergency department. On examination, she is found to be pale, with a heart rate of 112 bpm, blood pressure of 95/55 mm of Hg, respiratory rate of 18 breaths per minute and her oxygen saturation in room air is 95%. Fetal heart rate is audible at 102 bpm and her uterus is tense and tender, she denied having any direct trauma to the abdomen. Which one of the following is the most likely diagnosis in this given case?