{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:10:02Z","timestamp":1756307402284,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","issue":"5","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2019,5,1]]},"published-print":{"date-parts":[[2019,5,17]]},"abstract":"<jats:p>A 30-year-old woman was referred for a surgical review with abdominal pain and distension 2\u2009days post-caesearean section. Abdominal X-ray showed dilated bowel loops. CT of her abdomen however showed fat stranding around a thickened appendix, suggesting a differential diagnosis of acute appendicitis on top of a postoperative ileus. Failure to respond to intravenous antibiotics led to an emergent surgical exploratory laparotomy, by which time the progressive caecal dilatation had led to patchy necrosis and perforation of the right hemicolon intra-operatively. The patient required a right hemicolectomy and histological examination of the excised bowel supported the diagnosis of Ogilvie\u2019s syndrome. This case highlights the red herrings that one can encounter when faced with a woman with post-caesarean section abdominal pain and aims to raise awareness among clinicians of this condition\u2014where timely diagnosis and management is key.<\/jats:p>","DOI":"10.1136\/bcr-2019-229228","type":"journal-article","created":{"date-parts":[[2019,5,20]],"date-time":"2019-05-20T05:35:23Z","timestamp":1558330523000},"page":"e229228","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Appendiceal fat stranding on CT: a red herring in a post-caesarean section woman with Ogilvie\u2019s syndrome (OS)"],"prefix":"10.1136","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5763-5742","authenticated-orcid":false,"given":"Kay Tai","family":"Choy","sequence":"first","affiliation":[{"name":"Department of Surgery, Cairns Hospital, Cairns North, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Heng-Chin","family":"Chiam","sequence":"additional","affiliation":[{"name":"Department of Surgery, Cairns Hospital, Cairns North, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,5,19]]},"reference":[{"key":"2025082707330130000_12.5.e229228.1","unstructured":"Moons V , Coremans G , JJAg-eB T . An update on acute colonic pseudo-obstruction (Ogilvie\u2019s syndrome). 2003;66:150\u20133."},{"key":"2025082707330130000_12.5.e229228.2","doi-asserted-by":"crossref","unstructured":"Saha AK , Newman E , Giles M , et al . Ogilvie\u2019s syndrome with caecal perforation after Caesarean section: a case report. 2009;3:6177.","DOI":"10.4076\/1752-1947-3-6177"},{"key":"2025082707330130000_12.5.e229228.3","doi-asserted-by":"crossref","first-page":"80","DOI":"10.4103\/0971-3026.37051","article-title":"Pictorial essay: CT scan of appendicitis and its mimics causing right lower quadrant pain","volume":"18","author":"Sharma","year":"2008","journal-title":"Indian Journal of Radiology and Imaging"},{"key":"2025082707330130000_12.5.e229228.4","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1016\/0959-289X(94)90075-2","article-title":"Acute colonic pseudo-obstruction after caesarean section","volume":"3","author":"Dickson","year":"1994","journal-title":"Int J Obstet Anesth"},{"key":"2025082707330130000_12.5.e229228.5","doi-asserted-by":"crossref","unstructured":"Srivastava G , Pilkington A , Nallala D , et al . Ogilvie\u2019s syndrome: a case report. 2007;276:555\u20137.","DOI":"10.1007\/s00404-007-0386-5"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2019-229228","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T14:33:11Z","timestamp":1756305191000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2019-229228"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,5,17]]},"references-count":5,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2019,5,19]]},"published-print":{"date-parts":[[2019,5,17]]}},"alternative-id":["10.1136\/bcr-2019-229228"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2019-229228","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2019,5,17]]}}}