Acute confusion in gestation is mostly uncommon, given the comparatively young and healthy population obstetricians look after. we have a tendency to gift AN uncommon and rare case of acute confusion in a very term gestation with antecedent history of channel (GI) trauma. A gravida with no anamnesis of note, was found to possess a hemoprotein of 76 g/L at booking and was commenced on oral iron supplementation. within the trimester, she conferred with laxation and had many admissions, requiring eighteen units of red blood cells throughout her gestation. At term, she was admitted with acute confusion and GI trauma, and was after delivered by cesarean section to facilitate current investigation and management of her symptoms. She was diagnosed postnatally with AN blood vessel malformation within the small intestine that needed interventional radiology and surgical management for symptom resolution. Her confusion was attributed to hyperammonaemic levels secondary to her high macromolecule load.