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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 Right flank pain is a sensation of discomfort, distress or agony in the right side of the abdomen below the rib and above the ilium , generally beginning posteriorly or in the midaxillary line. It usually arises from the right kidney , its capsule or the right ureter . Similar pain is sometimes caused by extraurinary abnormalities.
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 flank pain developed by WikiDoc.org
Common Causes Causes of right flank pain developed by WikiDoc.org
Causes by Organ System
Cardiovascular
Acute cortical necrosis , acute tubular necrosis , arteriovenous malformation , atheroemboli , fibromuscular dysplasia , hypertensive emergency , hypertensive urgency , ischemic colitis , renal artery aneurysm , renal artery dissection , renal infarction , renal vein thrombosis , ruptured abdominal aortic aneurysm , thromboemboli
Chemical/Poisoning
No underlying causes
Dental
No underlying causes
Dermatologic
Herpes zoster
Drug Side Effect
Acute papillary necrosis , crystal induced acute kidney injury , drug induced interstitial nephritis
Ear Nose Throat
No underlying causes
Endocrine
Adrenal hemorrhage , adrenocortical carcinoma
Environmental
No underlying causes
Gastroenterologic
Acute cholecystitis , appendicitis during pregnancy , ascending colon carcinoma , biliary colic , cholangitis , cholelithiasis , colitis , colon carcinoma , echinococcosis , gall stones , gallbladder empyema , hepatitis , hepatomegaly , inflammatory bowel disease , ischemic colitis , liver abscess
Genetic
Xanthine oxydase deficiency
Hematologic
Acute papillary necrosis , sickle cell disease , coagulopathy
Iatrogenic
Infected penile prosthesis , nephrostomy , pelvic surgery
Infectious Disease
Acute nephritis , acute pyelonephritis , adrenal hemorrhage , bilharziosis , candidemia , cholangitis , colitis , echinococcosis , emphysematous pyelitis , fungal bezoars , fungemia , fungus balls , herpes zoster , liver abscess , pelvic inflammatory disease , perinephric abscess , poststreptococcal glomerulonephritis , psoas abscess , renal abscess , renal mucormycosis , renal zygomycosis , urinary tract infection , urosepsis , urogenital tuberculosis
Musculoskeletal/Orthopedic
Abdominal muscle spasm , abdominal muscle strain , abdominal muscle tear , disc disease , referred pain from back , spinal arthritis
Neurologic
Neuralgia , neurogenic bladder
Nutritional/Metabolic
Acute uric acid nephropathy , xanthine oxidase deficiency
Obstetric/Gynecologic
Adnexitis , ectopic pregnancy , endometriosis , outwards pressure on the ribs from the growing uterus , ovarian cyst , ovarian torsion , ovarian tumor , pelvic inflammatory disease , pelvic surgery , polyembryoma , stretching of tissues around the uterus
Oncologic
Adrenocortical carcinoma , angiomyolipoma , ascending colon carcinoma , bladder carcinoma , collecting duct carcinoma , colon carcinoma , oncocytoma , ovarian tumor , polyembryoma , renal cell carcinoma , transitional cell carcinoma , Wilms tumor
Ophthalmologic
No underlying causes
Overdose/Toxicity
No underlying causes
Psychiatric
Somatoform disorder
Pulmonary
No underlying causes
Renal/Electrolyte
Acute cortical necrosis , acute kidney injury , acute nephritis , acute papillary necrosis , acute pyelonephritis , acute tubular necrosis , acute uric acid nephropathy , Alport's syndrome , angiomyolipoma , bladder carcinoma , calix diverticulum , collecting duct carcinoma , crystal induced acute kidney injury , drug induced interstitial nephritis , ectopic ureter , emphysematous pyelitis , fibromuscular dysplasia , glomerulonephritis , hydronephrosis , hypercalciuria , IgA nephropathy , Infected penile prosthesis , loin pain hematuria syndrome , malakoplakia , megaureter , nephrolithiasis , nephroptosis , nephrostomy , neurogenic bladder , obstructive uropathy , paroxysmal nocturnal haemoglobinuria , perinephric abscess , polycystic kidney disease , post renal transplantation , posterior urethral valves , poststreptococcal glomerulonephritis , reflux nephropathy , renal abscess , renal artery aneurysm , renal artery dissection , renal cell carcinoma , renal cyst , renal cyst infection , renal cyst rupture or hemorrhage , renal dystopia , renal infarction , Renal mucormycosis , renal papillary necrosis , renal trauma , renal vein thrombosis , renal zygmycosis , thin basement membrane nephropathy , transitional cell carcinoma , tubulointerstitial nephritis , ureteropelvic junction obstruction , urinary tract infection , urogenital tuberculosis , urolithiasis , urosepsis , Wilms' tumor
Rheumatology/Immunology/Allergy
Acute nephritis , Alport's syndrome , Ormond's disease , paroxysmal nocturnal haemoglobinuria , post renal transplantation , poststreptococcal glomerulonephritis
Sexual
No underlying causes
Trauma
Abdominal muscle strain , abdominal muscle tear , perforation of a viscus , renal trauma
Urologic
No underlying causes
Miscellaneous
Exercise , lymphangioma , multifocal fibrosclerosis , retroperitoneal fibrosis , retroperitoneal hematoma , tuberous sclerosis
Causes of right flank pain developed by WikiDoc.org
Causes in Alphabetical Order Causes of right flank pain developed by WikiDoc.org
References
↑ Wolffram, S.; Bisang, B.; Grenacher, B.; Scharrer, E. (1990). "Transport of tri- and dicarboxylic acids across the intestinal brush border membrane of calves". J Nutr . 120 (7): 767–74. PMID 2366111 . ↑ Christodoulidou, M.; Thomas, M.; Sharma, SD. (2012). "Hydronephrosis and loin pain as a presentation of tubo-ovarian abscess developing after Mirena coil removal". BMJ Case Rep . 2012 . doi :10.1136/bcr-03-2012-6108 . PMID 22865801 . ↑ Smith, HS.; Bajwa, ZH. (2012). "Loin pain hematuria syndrome-visceral or neuropathic pain syndrome?". Clin J Pain . 28 (7): 646–51. doi :10.1097/AJP.0b013e31823d47f3 . PMID 22699133 .
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