Abstract
In September, 2009, a 31-year-old woman presented to our emergency room with a 3-day history of severe abdominal pain. 3 weeks before admission she had undergone a caesarean section to deliver her second child. She had no nausea, anorexia, vomiting, or fever. Examination was normal apart from a positive Murphy's sign. C reactive protein (CRP) concentrations were raised at 9·7 mg/L, but numbers of neutrophils were normal. We suspected acute cholecystitis and started antibiotic treatment with amoxicillin; however, ultrasonography showed no signs of an inflamed gallbladder, and a CT scan of the abdomen showed signs only of peritonitis and postoperative changes.
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