Causes of right upper quadrant abdominal pain: Difference between revisions

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{{Abdominal pain}}
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==Overview==
==Overview==
Acute right upper quadrant abdominal pain usually arises from the [[liver]] and the [[biliary tree]].  [[Gallstone diseases]] are among the most common causes of right upper quadrant abdominal pain; hence, an emphasis is first laid on the gallstone diseases while approaching the patient.


==Causes of Right Upper Quadrant Abdominal Pain==
==Causes==
===Life Threatening Causes===
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.


===Life Threatening Causes===
*[[Adrenal hemorrhage]]
*[[Adrenal hemorrhage]]
*[[Gall bladder rupture]]
*[[Cholecystitis natural history, complications and prognosis#Gallbladder perforation|Gallbladder perforation]]
*[[Gangrenous cholecystitis]]
*[[Cholecystitis natural history, complications and prognosis#Gangrenous cholecystitis|Gangrenous cholecystitis]]
*[[Ischemic colitis]]
*[[Ischemic colitis]]
*[[Peptic ulcer natural history|Peptic ulcer perforation]]
*[[Pulmonary embolism]]
*[[Pulmonary embolism]]
*[[Ruptured peptic ulcer]]
*[[Hepatitis|Toxin induced hepatitis]]
*[[Toxins]]
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===Common Causes===
===Common Causes===
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*[[Pneumonia]]
*[[Pneumonia]]
*[[Renal colic]]<ref>{{Cite journal  | last1 = Haberman | first1 = D. | last2 = Castignola | first2 = M. | last3 = Martínez | first3 = A. | last4 = Paladini | first4 = H. | last5 = Toda | first5 = M. | last6 = Baldessari | first6 = EM. | last7 = Ramisch | first7 = D. | last8 = Gondolesi | first8 = G. | title = [Acute abdomen with right hypochondrial pain: an unusual cause]. | journal = Acta Gastroenterol Latinoam | volume = 41 | issue = 4 | pages = 276, 357-8 | month = Dec | year = 2011 | doi =  | PMID = 22292219 }}</ref>
*[[Renal colic]]<ref>{{Cite journal  | last1 = Haberman | first1 = D. | last2 = Castignola | first2 = M. | last3 = Martínez | first3 = A. | last4 = Paladini | first4 = H. | last5 = Toda | first5 = M. | last6 = Baldessari | first6 = EM. | last7 = Ramisch | first7 = D. | last8 = Gondolesi | first8 = G. | title = [Acute abdomen with right hypochondrial pain: an unusual cause]. | journal = Acta Gastroenterol Latinoam | volume = 41 | issue = 4 | pages = 276, 357-8 | month = Dec | year = 2011 | doi =  | PMID = 22292219 }}</ref>
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===Causes by Organ System===
===Causes by Organ System===
{|style="width:82%; height:100px" border="1"
{|style="width:80%; height:100px" border="1"
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Congestive heart failure]], [[ischemic colitis]],  [[myocarditis]],  [[veno-occlusive disease]]
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Congestive heart failure]], [[ischemic colitis]],  [[myocarditis]],  [[veno-occlusive disease]]
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
| '''Drug Side Effect'''
|bgcolor="Beige"| [[Cholecystitis ]],  [[duodenal ulcer]]
|bgcolor="Beige"| [[Cholecystitis]],  [[duodenal ulcer]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Endocrine'''
| '''Endocrine'''
|bgcolor="Beige"| [[Addisonian crisis]],  [[adrenal hemorrhage]],  [[adrenal tuberculosis]],  [[constipation]],  [[pheochromocytoma]]
|bgcolor="Beige"| [[Addisonian crisis]],  [[adrenal hemorrhage]],  [[Addison's disease|adrenal tuberculosis]],  [[constipation]],  [[pheochromocytoma]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
| '''Gastroenterologic'''
|bgcolor="Beige"| [[Acute cholecystitis]], [[acute fatty liver]],  [[acute hepatitis]],  [[acute pancreatitis]],  [[ascending cholangitis]],  [[ascending retrocecal appendicitis]],  [[atypical acute appendicitis]],  [[biliary colic]],  [[biliary dyskinesia]],  [[budd-chiari syndrome]],  [[cholecystitis]],  [[choledocholithiasis]],  [[colitis]],  [[congestive heart failure]],  [[constipation]],  [[Crohn's disease]],  [[diverticulosis]],  [[duodenal ulcer]],  [[dyspepsia]],  [[gallstone disease]],  [[gallstone pancreatitis]],  [[gangrenous cholecystitis]],  [[gastroenteritis]],  [[hepatic abscess]],  [[hepatic flexure carcinoma]],  [[hepatic tumor]],  [[hepatomegaly]],  [[HIV]],  [[inflammatory hepatomegaly]],  [[irritable bowel syndrome]],  [[ischemic colitis]],  [[peptic ulcer disease]],  [[perihepatitis]],  [[seizures]],  [[sepsis]],  [[Zollinger-Ellison syndrome]]
|bgcolor="Beige"| [[Acute cholecystitis]], [[Fatty liver|acute fatty liver]],  [[acute hepatitis]],  [[acute pancreatitis]],  [[ascending cholangitis]],  [[Appendicitis|ascending retrocecal appendicitis]],  [[Appendicitis|atypical acute appendicitis]],  [[biliary colic]],  [[biliary dyskinesia]],  [[Budd-Chiari syndrome]],  [[cholecystitis]],  [[choledocholithiasis]],  [[colitis]],  [[congestive heart failure]],  [[constipation]],  [[Crohn's disease]],  [[diverticulosis]],  [[duodenal ulcer]],  [[dyspepsia]],  [[Cholecystitis natural history, complications and prognosis|gallbladder perforation]],  [[gallstone disease]],  [[Pancreatitis|gallstone pancreatitis]],  [[Cholecystitis natural history, complications and prognosis#Gangrenous cholecystitis|gangrenous cholecystitis]],  [[gastroenteritis]],  [[hepatic abscess]],  [[Colorectal cancer|hepatic flexure carcinoma]],  [[hepatic tumor]],  [[hepatomegaly]],  [[HIV]],  [[Hepatomegaly|inflammatory hepatomegaly]],  [[irritable bowel syndrome]],  [[ischemic colitis]],  [[peptic ulcer disease]],  [[Fitz-Hugh-Curtis syndrome|perihepatitis]],  [[seizures]],  [[sepsis]],  [[Zollinger-Ellison syndrome]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Hematologic'''
| '''Hematologic'''
|bgcolor="Beige"| [[Budd-chiari syndrome]], [[choledocholithiasis]],  [[hemoglobinopathies]],  [[sickle cell disease]],  [[veno-occlusive disease]]
|bgcolor="Beige"| [[Budd-Chiari syndrome]], [[choledocholithiasis]],  [[hemoglobinopathies]],  [[sickle cell disease]],  [[veno-occlusive disease]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Iatrogenic'''
| '''Iatrogenic'''
|bgcolor="Beige"| [[Partial hepatectomy]]
|bgcolor="Beige"| [[Hepatectomy|Partial hepatectomy]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Infectious Disease'''
| '''Infectious Disease'''
|bgcolor="Beige"| [[Acute hepatitis]], [[adrenal hemorrhage]],  [[adrenal tuberculosis]],  [[ascending cholangitis]],  [[colitis]],  [[duodenal ulcer]],  [[Fitz-Hugh-Curtis syndrome]],  [[gastroenteritis]],  [[hepatic abscess]],  [[herpes zoster]],  [[HIV]],  [[pelvic inflammatory disease]],  [[perihepatitis]],  [[pyelonephritis]],  [[sepsis]],  [[subdiaphragmatic abscess]]
|bgcolor="Beige"| [[Acute hepatitis]], [[adrenal hemorrhage]],  [[Addison's disease|adrenal tuberculosis]],  [[ascending cholangitis]],  [[colitis]],  [[duodenal ulcer]],  [[Fitz-Hugh-Curtis syndrome]],  [[gastroenteritis]],  [[hepatic abscess]],  [[herpes zoster]],  [[HIV]],  [[pelvic inflammatory disease]],  [[Fitz-Hugh-Curtis syndrome|perihepatitis]],  [[pyelonephritis]],  [[sepsis]],  [[Abscess|subdiaphragmatic abscess]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Musculoskeletal/Orthopedic'''
| '''Musculoskeletal/Orthopedic'''
|bgcolor="Beige"| [[Abdominal wall pain]], [[painful rib syndrome]],  [[polymyositis]]
|bgcolor="Beige"| [[Carnett's test|Abdominal wall pain]], [[Tietze's syndrome|painful rib syndrome]],  [[polymyositis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Obstetric/Gynecologic'''
| '''Obstetric/Gynecologic'''
|bgcolor="Beige"| [[Acute fatty liver]], [[eclampsia]],  [[HELLP syndrome]],  [[pelvic inflammatory disease]],  [[preeclampsia]]
|bgcolor="Beige"| [[Fatty liver|Acute fatty liver]], [[eclampsia]],  [[HELLP syndrome]],  [[pelvic inflammatory disease]],  [[preeclampsia]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Oncologic'''
| '''Oncologic'''
|bgcolor="Beige"| [[Hepatic flexure carcinoma]], [[hepatic tumor]],  [[Kaposis sarcoma]],  [[malignant infiltration of liver]],  [[metastatic infiltration of right adrenal gland]],  [[pheochromocytoma]],  [[renal carcinoma]],  [[Zollinger-Ellison syndrome]]
|bgcolor="Beige"| [[Colorectal cancer|Hepatic flexure carcinoma]], [[hepatic tumor]],  [[Kaposi's sarcoma]],  [[Hepatocellular carcinoma|malignant infiltration of liver]],  [[Adrenal insufficiency|metastatic infiltration of right adrenal gland]],  [[pheochromocytoma]],  [[renal carcinoma]],  [[Zollinger-Ellison syndrome]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Overdose/Toxicity'''
| '''Overdose/Toxicity'''
|bgcolor="Beige"|  
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Psychiatric'''
| '''Psychiatric'''
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Trauma'''
| '''Trauma'''
|bgcolor="Beige"| [[Adrenal hemorrhage]], [[collisions]],  [[falls]],  [[gall bladder rupture]],  [[solid organ laceration or perforated viscus]]
|bgcolor="Beige"| [[Adrenal hemorrhage]], [[Abdominal trauma|collisions]],  [[Abdominal trauma|falls]],  [[Abdominal trauma|solid organ laceration or perforated viscus]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Miscellaneous'''
| '''Miscellaneous'''
|bgcolor="Beige"| [[Heavy exercise]]
|bgcolor="Beige"| [[Strain (injury)|Heavy exercise]]
|-
|-
|}
|}
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===Causes in Alphabetical Order===
===Causes in Alphabetical Order===
{{col-begin|width=85%}}
{{col-begin|width=80%}}
{{col-break|width=33%}}
{{col-break|width=33%}}
*[[Abdominal wall pain]]
*[[Carnett's test|Abdominal wall pain]]
*[[Acute cholecystitis]]
*[[Acute cholecystitis]]
*[[Acute fatty liver]]
*[[Fatty liver|Acute fatty liver]]
*[[Acute hepatitis]]
*[[Acute hepatitis]]
*[[Acute pancreatitis]]
*[[Acute pancreatitis]]
*[[Addisonian crisis]]
*[[Addisonian crisis]]
*[[Adrenal hemorrhage ]]
*[[Adrenal hemorrhage ]]
*[[Adrenal tuberculosis]]
*[[Addison's disease|Adrenal tuberculosis]]
*[[Ascending cholangitis]]
*[[Ascending cholangitis]]
*[[Ascending retrocecal appendicitis]]
*[[Appendicitis|Ascending retrocecal appendicitis]]
*[[Atypical acute appendicitis]]
*[[Appendicitis|Atypical acute appendicitis]]
*[[Biliary colic]]
*[[Biliary colic]]
*[[Biliary dyskinesia]]
*[[Biliary dyskinesia]]
*[[Budd-chiari syndrome]]
*[[Budd-Chiari syndrome]]
*[[Cholecystitis]]
*[[Cholecystitis]]
*[[Choledocholithiasis]]
*[[Choledocholithiasis]]
*[[Colitis]]
*[[Colitis]]
*[[Collisions]]
*[[Abdominal trauma|Collisions]]
*[[Congestive heart failure]]
*[[Congestive heart failure]]
*[[Constipation]]
*[[Constipation]]
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{{col-break|width=33%}}
{{col-break|width=33%}}
*[[Empyema]]
*[[Empyema]]
*[[Falls]]
*[[Abdominal trauma|Falls]]
*[[Fitz-hugh-curtis syndrome]]
*[[Fitz-Hugh-Curtis syndrome]]
*[[Gall bladder rupture]]
*[[Cholecystitis natural history, complications and prognosis#Gallbladder perforation|Gallbladder perforation]]
*[[Gallstone disease]]
*[[Gallstone disease]]
*[[Gallstone pancreatitis]]
*[[Pancreatitis|Gallstone pancreatitis]]
*[[Gangrenous cholecystitis]]
*[[Cholecystitis natural history, complications and prognosis#Gangrenous cholecystitis|Gangrenous cholecystitis]]
*[[Gastroenteritis]]
*[[Gastroenteritis]]
*[[Glomerulonephritis]]
*[[Glomerulonephritis]]
*[[Heat stroke]]
*[[Heat stroke]]
*[[Heavy exercise]]
*[[Strain (injury)|Heavy exercise]]
*[[HELLP syndrome]]
*[[HELLP syndrome]]
*[[Hemoglobinopathies]]
*[[Hemoglobinopathies]]
*[[Hepatic abscess]]
*[[Hepatic abscess]]
*[[Hepatic flexure carcinoma]]
*[[Colorectal cancer|Hepatic flexure carcinoma]]
*[[Hepatic tumor]]
*[[Hepatic tumor]]
*[[Hepatomegaly]]
*[[Hepatomegaly]]
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*[[HIV]]
*[[HIV]]
*[[Hydronephrosis]]
*[[Hydronephrosis]]
*[[Inflammatory hepatomegaly]]
*[[Hepatomegaly|Inflammatory hepatomegaly]]
*[[Irritable bowel syndrome]]
*[[Irritable bowel syndrome]]
*[[Ischemic colitis]]
*[[Ischemic colitis]]
*[[Kaposis sarcoma]]
*[[Kaposis sarcoma]]
*[[Malignant infiltration of liver]]
*[[Hepatocellular carcinoma|Malignant infiltration of liver]]
*[[Metastatic infiltration of right adrenal gland]]
*[[Adrenal insufficiency|Metastatic infiltration of right adrenal gland]]
{{col-break|width=33%}}
{{col-break|width=33%}}
*[[Myocarditis]]
*[[Myocarditis]]
*[[Painful rib syndrome]]
*[[Tietze's syndrome|Painful rib syndrome]]
*[[Partial hepatectomy]]
*[[Hepatectomy|Partial hepatectomy]]
*[[Pelvic inflammatory disease]]
*[[Pelvic inflammatory disease]]
*[[Peptic ulcer disease]]
*[[Peptic ulcer disease]]
*[[Perihepatitis]]
*[[Fitz-Hugh-Curtis syndrome|Perihepatitis]]
*[[Pheochromocytoma]]
*[[Pheochromocytoma]]
*[[Pleural effusion]]
*[[Pleural effusion]]
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*[[Sepsis]]
*[[Sepsis]]
*[[Sickle cell disease]]
*[[Sickle cell disease]]
*[[Solid organ laceration or perforated viscus]]
*[[Abdominal trauma|Solid organ laceration or perforated viscus]]
*[[Subdiaphragmatic abscess]]
*[[Abscess|Subdiaphragmatic abscess]]
*[[Veno-occlusive disease]]
*[[Veno-occlusive disease]]
*[[Zollinger-ellison syndrome]]
*[[Zollinger-Ellison syndrome]]
{{col-end}}
{{col-end}}
<font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font>


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
{{Gastroenterology}}
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{{WikiDoc Sources}}


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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: Vendhan Ramanujam M.B.B.S [2]

Overview

Acute right upper quadrant abdominal pain usually arises from the liver and the biliary tree. Gallstone diseases are among the most common causes of right upper quadrant abdominal pain; hence, an emphasis is first laid on the gallstone diseases while approaching the patient.

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 right upper quadrant abdominal pain developed by WikiDoc.org

Common Causes

Causes of right upper quadrant abdominal pain developed by WikiDoc.org

Causes by Organ System

Cardiovascular Congestive heart failure, ischemic colitis, myocarditis, veno-occlusive disease
Chemical/Poisoning No underlying causes
Dental No underlying causes
Dermatologic Herpes zoster, polymyositis
Drug Side Effect Cholecystitis, duodenal ulcer
Ear Nose Throat No underlying causes
Endocrine Addisonian crisis, adrenal hemorrhage, adrenal tuberculosis, constipation, pheochromocytoma
Environmental Heat stroke
Gastroenterologic Acute cholecystitis, acute fatty liver, acute hepatitis, acute pancreatitis, ascending cholangitis, ascending retrocecal appendicitis, atypical acute appendicitis, biliary colic, biliary dyskinesia, Budd-Chiari syndrome, cholecystitis, choledocholithiasis, colitis, congestive heart failure, constipation, Crohn's disease, diverticulosis, duodenal ulcer, dyspepsia, gallbladder perforation, gallstone disease, gallstone pancreatitis, gangrenous cholecystitis, gastroenteritis, hepatic abscess, hepatic flexure carcinoma, hepatic tumor, hepatomegaly, HIV, inflammatory hepatomegaly, irritable bowel syndrome, ischemic colitis, peptic ulcer disease, perihepatitis, seizures, sepsis, Zollinger-Ellison syndrome
Genetic No underlying causes
Hematologic Budd-Chiari syndrome, choledocholithiasis, hemoglobinopathies, sickle cell disease, veno-occlusive disease
Iatrogenic Partial hepatectomy
Infectious Disease Acute hepatitis, adrenal hemorrhage, adrenal tuberculosis, ascending cholangitis, colitis, duodenal ulcer, Fitz-Hugh-Curtis syndrome, gastroenteritis, hepatic abscess, herpes zoster, HIV, pelvic inflammatory disease, perihepatitis, pyelonephritis, sepsis, subdiaphragmatic abscess
Musculoskeletal/Orthopedic Abdominal wall pain, painful rib syndrome, polymyositis
Neurologic Seizures
Nutritional/Metabolic Choledocholithiasis, constipation, diabetic ketoacidosis
Obstetric/Gynecologic Acute fatty liver, eclampsia, HELLP syndrome, pelvic inflammatory disease, preeclampsia
Oncologic Hepatic flexure carcinoma, hepatic tumor, Kaposi's sarcoma, malignant infiltration of liver, metastatic infiltration of right adrenal gland, pheochromocytoma, renal carcinoma, Zollinger-Ellison syndrome
Ophthalmologic No underlying causes
Overdose/Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary Empyema, pleural effusion, pleurisy, pleuritis, pneumonia, pulmonary embolism, pulmonary infarction
Renal/Electrolyte Glomerulonephritis, hydronephrosis, pyelonephritis, renal carcinoma, renal colic, renal cyst
Rheumatology/Immunology/Allergy Addisonian crisis, glomerulonephritis, polymyositis
Sexual No underlying causes
Trauma Adrenal hemorrhage, collisions, falls, solid organ laceration or perforated viscus
Urologic No underlying causes
Miscellaneous Heavy exercise

Causes of right upper quadrant abdominal pain developed by WikiDoc.org

Causes in Alphabetical Order

Causes of right upper quadrant abdominal pain developed by WikiDoc.org

References

  1. ↑ Haberman, D.; Castignola, M.; Martínez, A.; Paladini, H.; Toda, M.; Baldessari, EM.; Ramisch, D.; Gondolesi, G. (2011). "[Acute abdomen with right hypochondrial pain: an unusual cause]". Acta Gastroenterol Latinoam. 41 (4): 276, 357–8. PMID 22292219. Unknown parameter |month= ignored (help)

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