This case involves a pregnant female who presented to labor and delivery to be evaluated by her primary care/perinatology physician for abdominal pain. She previously had issues becoming pregnant, but was able to conceive after using Bravelle. At the time of the event, she was in her 33rd week of pregnancy. Initial work-up included an abdominal sonogram, which showed cholelithiasis, the likely etiology of the abdominal pain. However, the official report conflicted with the initial finding. It read out that there were no gallstones, normal gallbladder wall thickness, and no sonographic Murphy’s sign, with 1 to 3 mm echogenicities in the gallbladder wall, likely due to small polyps. The patient was told she should undergo an elective laparoscopic cholecystectomy following her delivery. Despite the abdominal pain in the presence of fertility, the physician elected not to perform antenatal testing. Consequently, the pregnancy resulted in a stillbirth one day later.