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A near-miss is a critically ill woman, who survived a problem during pregnancy, childbirth, or within 42 days of termination of pregnancy. Pre-existing conditions when overlooked, succumb to morbid and mortal outcomes. Ours is one such perplexing case. A 32-year-old lady reported to the medicine emergency with a h/o intermittent fever, lower limb swelling and acute onset respiratory distress. She was admitted in the ICU for evaluation and management of septic shock and severe anemia, however an abdominal USG and CECT revealed a large collection with ?multiple hyperdense bone density lesions? ? foreign body and mild fluid in the endometrial cavity. A Gynaecology referral was received and on subsequent probing of the patient and family, a probable 16-18 weeks pregnancy and an attempt of termination 2 months back was disclosed. A 3D reconstruction of the CT-scan showed multiple bone-like structures in the peritoneal cavity. Exploratory laparotomy drained a large peritoneal pus collection. Multiple remnants of fetal bones and tissue along with dense, unhealthy adhesions between the bowel, omentum and pelvic organs were found. A bulky, irregularly perforated, friable uterus with b/l tubes and ovaries were exteriorised after difficult adhesiolysis and total hysterectomy + bilateral salpingo-oophorectomy performed. Postoperative course was intensive, with intubation for 7 days on inotropes, under massive transfusion protocol and antibiotics. Meanwhile, wound dehiscence encountered on day 6, was locally managed by daily dressing and antibiotics as per culture sensitivity. With a multidisciplinary approach in the ICU and ward, she improved and was discharged on postoperative day 17 in stable condition. HPE showed endometritis and cervicitis. Most occurrences are the consequence of a cascade of events, including social and cultural factors. Preventable causes can be prudently minimized through communication and patient awareness. Surveillance of factors and review audits provide better knowledge of the changes needed for quality improvement.