Review Question - QID 213627

A 35-year-old woman presents to the emergency department with right upper quadrant abdominal pain. She states that she noticed it this morning and that the pain was particularly bad when she took a deep breath. She also feels as if the pain spreads to her right shoulder. Otherwise, the patient has no other complaints and does not have any chest pain, shortness of breath, recent travel or stasis, or any infectious symptoms. The patient works as a commercial sex worker and lives in an apartment alone. She does not take any medications. Physical exam is notable for an obese woman. Review of systems is positive for the patient endorsing diarrhea when she feels stressed for the past year. Laboratory studies are ordered as seen below.

Serum:
Na+: 138 mEq/L
Cl-: 101 mEq/L
K+: 4.7 mEq/L
HCO3-: 23 mEq/L
BUN: 23 mg/dL
Glucose: 110 mg/dL
Creatinine: 1.0 mg/dL
Ca2+: 10.2 mg/dL
AST: 22 U/L
ALT: 20 U/L

The patient is ultimately discharged. The patient’s pain is unremitting and she is scheduled for a diagnostic laparoscopy which is notable for the findings in Figure A. Which of the following is associated with the most likely diagnosis?