Case Presentation: History: A 67-year-old male with a complex medical history, including HIV on HAART, Type 2 diabetes mellitus (T2DM), stage III CKD with microalbuminuria, severe aortic stenosis treated with TAVR, and post-procedural complete heart block managed with a dual-chamber pacemaker, presented to the emergency department with right-sided abdominal pain. This pain, described as cramping, [...]