Intraperitoneal causes of abdominal pain
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Intraperitoneal Causes of Abdominal Pain
Inflammatory Intraperitoneal Causes of Acute Abdominal Pain
Peritoneal
- Bacterial peritonitis
- Perforated hollow viscus
- Primary peritonitis (Pneumococcal, streptococcal, tuberculous; spontaneous bacterial peritonitis)
- Chemical and nonbacterial peritonitis
- Perforated peptic ulcer/biliary tree, pancreatitis, ruptured ovarian cyst, mittelschmerz
Hollow Visceral
- Appendicitis
- Cholecystitis
- Colitis (bacterial, amebic)
- Diverticulitis
- Duodenitis
- Gastritis
- Gastroenteritis
- Inflammatory bowel disease
- Meckel diverticulitis
- Peptic ulcer
Solid Visceral
- Abscess (pancreatic, hepatic, splenic, etc.)
- Hepatitis
- Pancreatitis
Mesenteric
- Epiploic appendagitis
- Lymphadenitis (bacterial, viral)
Pelvic
Mechanical Intraperitoneal Causes of Acute Abdominal Pain
Hollow Visceral
- Biliary obstruction
- Calculi
- Choledochal cyst
- Hemobilia
- Neoplasms
Solid Visceral
- Acute splenomegaly
- Acute hepatomegaly (congestive heart failure, Budd-Chiari syndrome)
Mesenteric
- Omental torsion
Pelvic
- Ectopic pregnancy
- Ovarian cyst
- Torsion or degeneration of fibroid
Hemoperitoneum
- Ruptured aortic or visceral aneurysm
- Ruptured ectopic pregnancy
- Ruptured graafian follicle
- Ruptured hepatic neoplasm
- Ruptured mesentery
- Ruptured uterus
- Spontaneous splenic rupture
Ischemic
- Hepatic infarction (toxemia, purpura)
- Mesenteric thrombosis
- Omental ischemia
- Splenic infarction
- Strangulated hernia