Causes of left flank pain: Difference between revisions

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{| class="infobox" style="float:right;"
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| [[File:Physician_Extender_Algorithms.gif|88px|link=Abdominal pain physician extender algorithm]]|| <br> || <br>
| [[File:Critical_Pathways.gif|88px|link=Abdominal pain critical pathways]]|| <br> || <br>
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{{Abdominal pain}}
{{Abdominal pain}}
{{CMG}}; {{M.P}}
 
{{CMG}}; {{AE}} {{M.P}}


==Overview==
==Overview==
Left flank pain refers to pain that is located below the ribs and above the pelvis and on the left side.  Flank pain is often a sign of [[kidney]] problems, but it can also point to other pathologies arising from [[descending colon]], [[small intestine]], [[peritoneum]], [[abdominal muscles]] and on rare occasion pancreas.  Women experience flank pain more commonly than men because of increased risk of [[urinary tract infections]].


Left flank  pain refers to pain that is located below the ribs and above the pelvis and on the left side.  Flank pain is often the sign of kidney problems, but it can also point to other pathologies arising from descending colon, small intestine, peritonium, abdominal muscles and on rare occasion pancreatitis.
==Causes==
===Life Threatening Causes===
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.


==Causes of Left Flank Pain==
===Life Threatening Causes===
*[[Blunt trauma|Abdominal compartment syndrome]]
*[[Blunt trauma|Abdominal compartment syndrome]]
*[[Acute kidney injury]]
*[[Acute kidney injury]]
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*[[Pulmonary embolism]]
*[[Pulmonary embolism]]
*[[Pulmonary infarction]]
*[[Pulmonary infarction]]
*[[abdominal abscess|Renal abscess]]
*[[kidney abscess|Renal abscess]]
*[[renovascular disease|Renal artery dissection]]
*[[renovascular disease|Renal artery dissection]]
*[[rupture spleen|Traumatic splenic rupture]]
*[[rupture spleen|Traumatic splenic rupture]]
<font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font>


===Common Causes===
===Common Causes===
*[[strain|Abdominal muscle strain]]
*[[strain|Abdominal muscle strain]]
*[[Acute kidney injury]]
*[[Acute kidney injury]]
*[[Chronic constipation]],
*[[Chronic constipation]]
*[[Exercise]]
*[[Exercise]]
*[[Gastroenteritis]]
*[[Gastroenteritis]]
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*[[obstructive uropathy|Urinary outflow obstruction]]
*[[obstructive uropathy|Urinary outflow obstruction]]
*[[Urinary tract infection]]
*[[Urinary tract infection]]
<font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font>


===Causes by Organ System===
===Causes by Organ System===
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Infectious Disease'''
| '''Infectious Disease'''
|bgcolor="Beige"| [[aspergillus|Fungal bezoars]], [[gastroenteritis]], [[HIV]], [[pleural effusion|inflammatory pleural effusions]], [[parasitic worm|intestinal worm infestation]], [[mediterranean spotted fever]], [[miliary tuberculosis]], [[mycobacterium avium complex]], [[abdominal abscess|perinephric abscess]], [[peritonitis]], [[pneumonia]], [[post streptococcal glomerulonephritis]], [[pyelonephritis]], [[abdominal abscess|renal abscess]], [[mucormycosis|renal mucormycosis]], [[renal tuberculosis]], [[abdominal abscess|retroperitoneal abscess]], [[shingles]], [[abdominal abscess|splenic abscess]], [[urinary tract infection]], [[sepsis|urosepsis]], [[dengue|viral hemorrhagic fevers]]
|bgcolor="Beige"| [[candida|Fungal bezoars]], [[gastroenteritis]], [[HIV]], [[pleural effusion|inflammatory pleural effusions]], [[parasitic worm|intestinal worm infestation]], [[mediterranean spotted fever]], [[miliary tuberculosis]], [[mycobacterium avium complex]], [[abdominal abscess|perinephric abscess]], [[peritonitis]], [[pneumonia]], [[post streptococcal glomerulonephritis]], [[pyelonephritis]], [[kidney abscess|renal abscess]], [[mucormycosis|renal mucormycosis]], [[renal tuberculosis]], [[abdominal abscess|retroperitoneal abscess]], [[shingles]], [[abdominal abscess|splenic abscess]], [[urinary tract infection]], [[sepsis|urosepsis]], [[dengue|viral hemorrhagic fevers]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Musculoskeletal/Orthopedic'''
| '''Musculoskeletal/Orthopedic'''
|bgcolor="Beige"| [[spasm|Abdominal muscle spasm]], [[strain|abdominal muscle strain]], [[injury|abdominal muscle tear]], [[spinal disc herniation|disc disease]], [[gout]], [[referred pain|referred pain from back]], [[arthritis|spinal arthritis]]
|bgcolor="Beige"| [[spasm|Abdominal muscle spasm]], [[strain|abdominal muscle strain]], [[strain|abdominal muscle tear]], [[spinal disc herniation|disc disease]], [[gout]], [[referred pain|referred pain from back]], [[arthritis|spinal arthritis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Renal/Electrolyte'''
| '''Renal/Electrolyte'''
|bgcolor="Beige"| [[Acute kidney injury]], [[Alport syndrome]], [[cystinuria]], [[Dent's disease]], [[Denys-Drash syndrome]], [[Goodpasture syndrome]], [[homocystinuria]], [[loin pain hematuria syndrome]], [[Meckel syndrome]], [[medullary cystic kidney disease]], [[megaureter]], [[membranoproliferative glomerulonephritis]], [[myoglobinuria]], [[nephrocalcinosis]], [[neurogenic bladder]], [[oxalosis]], [[abdominal abscess|perinephric abscess]], [[polycystic kidney disease]], [[kidney transplantation|post renal transplantation]], [[post streptococcal glomerulonephritis]], [[posterior urethral valves]], [[pyelonephritis]], [[reflux nephropathy]], [[hemangiosarcoma|renal angiosarcoma]], [[renal cell carcinoma]], [[mucormycosis|renal mucormycosis]], [[renal papillary necrosis]], [[renovascular disease|renal thromboembolism]], [[renal tuberculosis]], [[renal tubular acidosis]], [[ureterocele]] , [[retroperitoneal fibrosis]], [[scleroderma]], [[systemic lupus erythematosus]], [[tuberous sclerosis]], [[tubulointerstitial nephritis]], [[Turner syndrome]], [[cystometry|ureteral strictures]], [[obstructive uropathy|urinary outflow obstruction]], [[urinary tract infection]], [[vesicoureteral reflux]], [[Von Hippel-Lindau disease]], [[WAGR syndrome]], [[Wegener's granulomatosis]], [[Weil syndrome]], [[Williams syndrome]], [[Wilms tumor]], [[pyelonephritis|xanthogranulomatous pyelonephritis]]
|bgcolor="Beige"| [[Acute kidney injury]], [[Alport syndrome]], [[cystinuria]], [[Dent's disease]], [[Denys-Drash syndrome]], [[Goodpasture syndrome]], [[homocystinuria]], [[loin pain hematuria syndrome]], [[Meckel syndrome]], [[medullary cystic kidney disease]], [[megaureter]], [[membranoproliferative glomerulonephritis]], [[myoglobinuria]], [[nephrocalcinosis]], [[neurogenic bladder]], [[oxalosis]], [[kidney abscess|perinephric abscess]], [[polycystic kidney disease]], [[kidney transplantation|post renal transplantation]], [[post streptococcal glomerulonephritis]], [[posterior urethral valves]], [[pyelonephritis]], [[reflux nephropathy]], [[hemangiosarcoma|renal angiosarcoma]], [[renal cell carcinoma]], [[mucormycosis|renal mucormycosis]], [[renal papillary necrosis]], [[renovascular disease|renal thromboembolism]], [[renal tuberculosis]], [[renal tubular acidosis]], [[ureterocele]] , [[retroperitoneal fibrosis]], [[scleroderma]], [[systemic lupus erythematosus]], [[tuberous sclerosis]], [[tubulointerstitial nephritis]], [[Turner syndrome]], [[cystometry|ureteral strictures]], [[obstructive uropathy|urinary outflow obstruction]], [[urinary tract infection]], [[vesicoureteral reflux]], [[Von Hippel-Lindau disease]], [[WAGR syndrome]], [[Wegener's granulomatosis]], [[Weil syndrome]], [[Williams syndrome]], [[Wilms tumor]], [[pyelonephritis|xanthogranulomatous pyelonephritis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Rheumatology/Immunology/Allergy'''
| '''Rheumatology/Immunology/Allergy'''
|bgcolor="Beige"| [[eosinophilic gastroenteritis|Allergic gastroenteropathy]], [[crohn's disease]], [[Ormond's disease]], [[paroxysmal nocturnal haemoglobinuria]], [[kidney transplantation|post renal transplantation]], [[poststreptococcal glomerulonephritis]], [[Reye's syndrome]], [[rheumatoid vasculitis]], [[scarlet fever]], [[systemic lupus erythematosus]], [[systemic vasculitis]], [[ulcerative colitis]], [[Wegener's granulomatosis]]
|bgcolor="Beige"| [[eosinophilic gastroenteritis|Allergic gastroenteropathy]], [[Crohn's disease]], [[Ormond's disease]], [[paroxysmal nocturnal haemoglobinuria]], [[kidney transplantation|post renal transplantation]], [[poststreptococcal glomerulonephritis]], [[Reye's syndrome]], [[rheumatoid vasculitis]], [[scarlet fever]], [[systemic lupus erythematosus]], [[systemic vasculitis]], [[ulcerative colitis]], [[Wegener's granulomatosis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Trauma'''
| '''Trauma'''
|bgcolor="Beige"| [[strain|Abdominal muscle strain]], [[injury|abdominal muscle tear]], [[spinal disc herniation|disc prolapse]], [[electrical burns]], [[radiculitis]], [[rib fractures]], [[rupture spleen|traumatic splenic rupture]]
|bgcolor="Beige"| [[strain|Abdominal muscle strain]], [[strain|abdominal muscle tear]], [[spinal disc herniation|disc prolapse]], [[electrical burns]], [[radiculitis]], [[rib fractures]], [[rupture spleen|traumatic splenic rupture]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-
|-
|}
|}
<font color="white">Causes by Organ System developed by WikiDoc.org, Copyleft 2013</font>
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===Causes in Alphabetical Order===
===Causes in Alphabetical Order===
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*[[spasm|Abdominal muscle spasm]]
*[[spasm|Abdominal muscle spasm]]
*[[strain|Abdominal muscle strain]]
*[[strain|Abdominal muscle strain]]
*[[injury|Abdominal muscle tear]]
*[[strain|Abdominal muscle tear]]
*[[diverticulitis|Acute diverticulitis]]
*[[diverticulitis|Acute diverticulitis]]
*[[Addisonian crisis]]
*[[Addisonian crisis]]
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*[[Hyperuricaemia]]
*[[Hyperuricaemia]]
*[[Ibuprofen]]
*[[Ibuprofen]]
{{col-break|width=33%}}
*[[Idiopathic]]
*[[Idiopathic]]
{{col-break|width=33%}}
*[[Indomethacin]]
*[[Indomethacin]]
*[[Infective endocarditis]]
*[[Infective endocarditis]]
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*[[biopsy|Percutaneous renal biopsy]]
*[[biopsy|Percutaneous renal biopsy]]
*[[gastric ulcer|Perforated gastric ulcer]]
*[[gastric ulcer|Perforated gastric ulcer]]
*[[abdominal abscess|Perinephric abscess]]
*[[kidney abscess|Perinephric abscess]]
*[[Peritonitis]]
*[[Peritonitis]]
*[[Pernicious anemia]]
*[[Pernicious anemia]]
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*[[Referred pain]]
*[[Referred pain]]
*[[Reflux nephropathy]]
*[[Reflux nephropathy]]
*[[abdominal abscess|Renal abscess]]
*[[kidney abscess|Renal abscess]]
*[[hemangiosarcoma|Renal angiosarcoma]]
*[[hemangiosarcoma|Renal angiosarcoma]]
{{col-break|width=33%}}
*[[renovascular disease|Renal artery dissection]]
*[[renovascular disease|Renal artery dissection]]
{{col-break|width=33%}}
*[[renovascular disease|Renal artery embolism]]
*[[renovascular disease|Renal artery embolism]]
*[[Renal cell carcinoma]]
*[[Renal cell carcinoma]]
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*[[Wilms tumor]]
*[[Wilms tumor]]
*[[ pyelonephritis|Xanthogranulomatous pyelonephritis]]
*[[ pyelonephritis|Xanthogranulomatous pyelonephritis]]
<font color="white">Causes of {{PAGENAME}} developed by WikiDoc.org, Copyleft 2013</font>
{{col-end}}
{{col-end}}
<font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font>


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}


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[[Category:Emergency medicine]]
[[Category:Signs and symptoms]]
[[Category:Primary care]]
[[Category:Surgery]]
[[Category:Surgery]]
 
[[Category:Up-To-Date]]
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Latest revision as of 20:50, 29 July 2020
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mugilan Poongkunran M.B.B.S [2]

Overview

Left flank pain refers to pain that is located below the ribs and above the pelvis and on the left side. Flank pain is often a sign of kidney problems, but it can also point to other pathologies arising from descending colon, small intestine, peritoneum, abdominal muscles and on rare occasion pancreas. Women experience flank pain more commonly than men because of increased risk of urinary tract infections.

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.

Causes of left flank pain developed by WikiDoc.org

Common Causes

Causes of left flank pain developed by WikiDoc.org

Causes by Organ System

Cardiovascular Abdominal aortic aneurysm rupture, ischemic colitis, malignant hypertension, mesenteric artery ischemia, pulmonary embolism, pulmonary infarction, renal artery dissection, renal artery embolism, renal infarction, renal vein thrombosis, rheumatoid vasculitis, splenic artery embolization, splenic infarction, systemic vasculitis
Chemical/Poisoning Aluminum toxicity, arsenic poisoning, cadmium toxicity, chromium poisoning, copper poisoning, ecstasy overdose, ethylene glycol poisoning, food poisoning, gold, heavy metals, iron poisoning, lead poisoning, mercury poisoning, methanol, organophosphate poisoning, silver poisoning, toxic mushrooms
Dental No underlying causes
Dermatologic Scarlet fever, scleroderma, shingles
Drug Side Effect Aspirin, contrast agents, bleomycin, chemotherapeutic agents, cisplatin, colchicine, cyclosporin, diclofenac, fentanyl toxicity, ibuprofen, indomethacin, malignant hyperthermia, mercaptopurine, methotrexate, metronidazole, naproxen, nonsteroidal anti-inflammatory drugs (NSAIDs), pentamidine, Reye's syndrome, salicylates, statin, steroid abuse, sulindac, tetracycline, thrombolytic therapy, tramadol toxicity, vitamin D toxicity, warfarin
Ear Nose Throat No underlying causes
Endocrine Addisonian crisis, adrenal hemorrhage, carcinoid, diabetic ketoacidosis, multiple endocrine neoplasia type 1
Environmental Organophosphate poisoning
Gastroenterologic Abdominal compartment syndrome, acute diverticulitis, acute pancreatitis, chronic constipation, collagenous colitis, colon cancer, colonic lymphoma, congestive splenomegaly, Crohn's disease, eosinophilic gastroenteritis, familial adenomatous polyposis, gastroenteritis, gout, hepatorenal syndrome, intestinal pseudo-obstruction, intussusception, irritable bowel syndrome, ischemic colitis, malignant peritoneal mesothelioma, milk-alkali syndrome, perforated gastric ulcer, peritonitis, polycystic kidney disease, porphyria, scarlet fever, scleroderma, splenic abscess, splenic infarction, subphrenic abscess, traumatic splenic rupture, ulcerative colitis, visceral hamartoma, visceral hemangioma, volvulus, wandering spleen syndrome
Genetic Colon atresia, cystinuria, Dent's disease, familial adenomatous polyposis, homocystinuria, Meckel syndrome, polycystic kidney disease, porphyria, primary hyperoxaluria, sickle cell anemia, tuberous sclerosis, Von Hippel-Lindau Disease, WAGR syndrome, Williams syndrome
Hematologic Antiphospholipid syndrome, lymphoma, porphyria, sickle cell anemia
Iatrogenic Cystometry, dialysis, exercise, intra abdominal adhesions, pelvic surgery, percutaneous renal biopsy, radiation therapy, referred pain, splenic artery embolization, vitamin D toxicity
Infectious Disease Fungal bezoars, gastroenteritis, HIV, inflammatory pleural effusions, intestinal worm infestation, mediterranean spotted fever, miliary tuberculosis, mycobacterium avium complex, perinephric abscess, peritonitis, pneumonia, post streptococcal glomerulonephritis, pyelonephritis, renal abscess, renal mucormycosis, renal tuberculosis, retroperitoneal abscess, shingles, splenic abscess, urinary tract infection, urosepsis, viral hemorrhagic fevers
Musculoskeletal/Orthopedic Abdominal muscle spasm, abdominal muscle strain, abdominal muscle tear, disc disease, gout, referred pain from back, spinal arthritis
Neurologic
Nutritional/Metabolic Carbohydrate-deficient glycoprotein syndrome, cystinuria, homocystinuria, hyperuricaemia, oxalosis
Obstetric/Gynecologic Eclampsia, ectopic pregnancy, endometriosis, gestational trophoblastic disease, ovarian torsion, pelvic inflammatory disease
Oncologic Colon cancer, colonic lymphoma, familial adenomatous polyposis, malignant peritoneal mesothelioma, renal angiosarcoma, renal cell carcinoma, tuberous sclerosis, tumor lysis syndrome, visceral hamartoma, visceral hemangioma, Von Hippel-Lindau disease, WAGR syndrome, Wilms' tumor
Ophthalmologic No underlying causes
Overdose/Toxicity Cocaine overdose, contrast agents, fentanyl toxicity, steroid abuse, tramadol toxicity
Psychiatric Intestinal pseudo-obstruction, irritable bowel syndrome
Pulmonary Empyema, inflammatory pleural effusions, pneumonia, pulmonary embolism, pulmonary infarction, systemic lupus erythematosus, Wegener's granulomatosis
Renal/Electrolyte Acute kidney injury, Alport syndrome, cystinuria, Dent's disease, Denys-Drash syndrome, Goodpasture syndrome, homocystinuria, loin pain hematuria syndrome, Meckel syndrome, medullary cystic kidney disease, megaureter, membranoproliferative glomerulonephritis, myoglobinuria, nephrocalcinosis, neurogenic bladder, oxalosis, perinephric abscess, polycystic kidney disease, post renal transplantation, post streptococcal glomerulonephritis, posterior urethral valves, pyelonephritis, reflux nephropathy, renal angiosarcoma, renal cell carcinoma, renal mucormycosis, renal papillary necrosis, renal thromboembolism, renal tuberculosis, renal tubular acidosis, ureterocele , retroperitoneal fibrosis, scleroderma, systemic lupus erythematosus, tuberous sclerosis, tubulointerstitial nephritis, Turner syndrome, ureteral strictures, urinary outflow obstruction, urinary tract infection, vesicoureteral reflux, Von Hippel-Lindau disease, WAGR syndrome, Wegener's granulomatosis, Weil syndrome, Williams syndrome, Wilms tumor, xanthogranulomatous pyelonephritis
Rheumatology/Immunology/Allergy Allergic gastroenteropathy, Crohn's disease, Ormond's disease, paroxysmal nocturnal haemoglobinuria, post renal transplantation, poststreptococcal glomerulonephritis, Reye's syndrome, rheumatoid vasculitis, scarlet fever, systemic lupus erythematosus, systemic vasculitis, ulcerative colitis, Wegener's granulomatosis
Sexual Denys-Drash syndrome, Turner syndrome
Trauma Abdominal muscle strain, abdominal muscle tear, disc prolapse, electrical burns, radiculitis, rib fractures, traumatic splenic rupture
Urologic No underlying causes
Miscellaneous Chronic constipation, idiopathic, splenosis

Causes of left flank pain developed by WikiDoc.org

Causes in Alphabetical Order

Causes of left flank pain developed by WikiDoc.org

References

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