Causes of right lower quadrant abdominal pain: Difference between revisions

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| [[Abdominal pain resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']]
| [[Abdominal pain resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']]
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| [[File:Critical_Pathways.gif|88px|link=Abdominal pain critical pathways]]|| <br> || <br>
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{{Abdominal pain}}
{{Abdominal pain}}
{{CMG}}; {{VR}}
{{CMG}}; {{AE}} {{VR}}


==Overview==
==Overview==
Acute right lower quadrant abdominal pain arises from the distal gastrointestinal tract and is accompanied by other symptoms like diarrhea, hematochezia and tenesmus. But pain from above abdominal and below pelvic structures may also radiate towards this quadrant. In females, the pain arising from the adnexa of the uterus is as common as the pain originating from the distal intestine.
Acute right lower quadrant abdominal pain arises from the distal gastrointestinal tract and is accompanied by other symptoms like diarrhea, hematochezia and tenesmus. With the most common cause being [[appendicitis]], pain from above abdominal and below pelvic structures may also radiate towards this quadrant. In females, obstetric and gynecological causes must also be considered in addition to the usual causes.


==Causes of Right Lower Quadrant Abdominal Pain==
==Causes==
===Life Threatening Causes===
===Life Threatening Causes===
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
*[[Acute appendicitis]]
*[[Acute appendicitis]]
*[[Inguinal hernia|Incarcerated inguinal hernia]]
*[[Inguinal hernia|Incarcerated inguinal hernia]]
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*[[Strangulation]]
*[[Strangulation]]
*[[Testicular torsion]]
*[[Testicular torsion]]
*[[Complications of pregnancy|Uterine torsion]]
*[[Complications of pregnancy#Uterine torsion|Uterine torsion]]
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===Common Causes===
===Common Causes===
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*[[Ovarian torsion]]
*[[Ovarian torsion]]
*[[Pelvic inflammatory disease]]
*[[Pelvic inflammatory disease]]
*[[Kidney stone|Ureteral colic]]<ref name="Rennie-2006">{{Cite journal  | last1 = Rennie | first1 = AT. | last2 = Tytherleigh | first2 = MG. | last3 = Theodoroupolou | first3 = K. | last4 = Farouk | first4 = R. | title = A prospective audit of 300 consecutive young women with an acute presentation of right iliac fossa pain. | journal = Ann R Coll Surg Engl | volume = 88 | issue = 2 | pages = 140-3 | month = Mar | year = 2006 | doi = 10.1308/003588406X94887 | PMID = 16551402 }}</ref>
*[[Kidney stone|Ureteral colic]]<ref name="Rennie-2006">{{Cite journal  | last1 = Rennie | first1 = AT. | last2 = Tytherleigh | first2 = MG. | last3 = Theodoroupolou | first3 = K. | last4 = Farouk | first4 = R. | title = A prospective audit of 300 consecutive young women with an acute presentation of right iliac fossa pain. | journal = Ann R Coll Surg Engl | volume = 88 | issue = 2 | pages = 140-3 | month = Mar | year = 2006 | doi = 10.1308/003588406X94887 | PMID = 16551402 }}</ref><ref name="Millet-2012">{{Cite journal  | last1 = Millet | first1 = I. | last2 = Alili | first2 = C. | last3 = Pages | first3 = E. | last4 = Curros Doyon | first4 = F. | last5 = Merigeaud | first5 = S. | last6 = Taourel | first6 = P. | title = Infection of the right iliac fossa. | journal = Diagn Interv Imaging | volume = 93 | issue = 6 | pages = 441-52 | month = Jun | year = 2012 | doi = 10.1016/j.diii.2012.04.026 | PMID = 22658341 }}</ref>
<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"
| '''Gastroenterologic'''
| '''Gastroenterologic'''
|bgcolor="Beige"| [[Acute appendicitis]], [[adhesions]],  [[Colorectal cancer|ascending colon carcinoma]],  [[Bowel obstruction|ascending colon obstruction]],  [[Colorectal cancer|cecal carcinoma]],  [[Volvulus|cecal volvulus]],  [[colitis]],  [[Crohn's disease]],  [[Bowel obstruction|ileal obstruction]],  [[ileitis]],  [[Inguinal hernia|incarcerated inguinal hernia]],  [[inflammatory bowel disease]],  [[inguinal hernia]],  [[intestinal volvulus]],  [[intussusception]],  [[Meckel diverticulitis]],  [[Lymphadenopathy|mesenteric lymphadenitis]],  [[mesenteric ischemia]],  [[Yersinia|pseudo appendicitis]],  [[Diverticulitis|right sided diverticulitis]],  [[strangulation]],  [[terminal ileitis]],  [[typhilitis]],  [[Yersinia|yersinia enterocolitica gastroenteritis]]
|bgcolor="Beige"| [[Acute appendicitis]], [[adhesions]],  [[Colorectal cancer|ascending colon carcinoma]],  [[Bowel obstruction|ascending colon obstruction]],  [[Colorectal cancer|cecal carcinoma]],  [[Volvulus|cecal volvulus]],  [[colitis]],  [[Crohn's disease]],  [[Bowel obstruction|ileal obstruction]],  [[ileitis]],  [[Inguinal hernia|incarcerated inguinal hernia]],  [[inflammatory bowel disease]],  [[inguinal hernia]],  [[intestinal volvulus]],  [[intussusception]],  [[Meckel diverticulitis]],  [[mesenteric ischemia]],  [[Lymphadenopathy|mesenteric lymphadenitis]],  [[Yersinia|pseudo appendicitis]],  [[Diverticulitis|right sided diverticulitis]],  [[strangulation]],  [[terminal ileitis]],  [[typhilitis]],  [[Yersinia|Yersinia enterocolitica gastroenteritis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Infectious Disease'''
| '''Infectious Disease'''
|bgcolor="Beige"| [[Adnexitis]], [[colitis]],  [[cystitis]],  [[endometritis]],  [[herpes zoster]],  [[ileitis]],  [[lymphogranuloma venereum]],  [[pelvic inflammatory disease]],  [[psoas abscess]],  [[salpingitis]],  [[Chlamydia infection|seminal vesiculitis]],  [[septic arthritis]],  [[terminal ileitis]],  [[transient synovitis]],  [[Pelvic inflammatory disease|tuboovarian abscess]],  [[typhilitis]],  [[Yersinia|yersinia enterocolitica gastroenteritis]]
|bgcolor="Beige"| [[Adnexitis]], [[colitis]],  [[cystitis]],  [[endometritis]],  [[herpes zoster]],  [[ileitis]],  [[lymphogranuloma venereum]],  [[pelvic inflammatory disease]],  [[psoas abscess]],  [[salpingitis]],  [[Chlamydia infection|seminal vesiculitis]],  [[septic arthritis]],  [[terminal ileitis]],  [[transient synovitis]],  [[Pelvic inflammatory disease|tuboovarian abscess]],  [[typhilitis]],  [[Yersinia|Yersinia enterocolitica gastroenteritis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Musculoskeletal/Orthopedic'''
| '''Musculoskeletal/Orthopedic'''
|bgcolor="Beige"| [[Hip dislocation]], [[psoas abscess]],  [[septic arthritis]],  [[transient synovitis]]
|bgcolor="Beige"| [[Hip dislocation]], [[psoas abscess]],  [[septic arthritis]],  [[transient synovitis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Obstetric/Gynecologic'''
| '''Obstetric/Gynecologic'''
|bgcolor="Beige"| [[Ectopic pregnancy]], [[Uterine sarcoma|endometrial stromal sarcoma]],  [[endometrioma]],  [[endometriosis]],  [[endometritis]],  [[Ovarian torsion|fallopian tube torsion]],  [[Ovarian cyst|hemorrhagic ovarian cyst]],  [[hydrosalpinx]],  [[Ovarian cyst|infarction or torsion of ovarian cyst]],  [[Leiomyoma|infarction or torsion of uterine leiomyoma]],  [[Mixed Mullerian tumor|malignant mixed Mullerian tumor]],  [[ovarian hyperstimulation syndrome]],  [[Ovarian cancer|ovarian neoplasm]],  [[pelvic inflammatory disease]],  [[Ectopic pregnancy|rupture of ectopic pregnancy]],  [[Ovarian cyst|ruptured ovarian cyst]],  [[salpingitis]],  [[Pelvic inflammatory disease|tuboovarian abscess]],  [[Complications of pregnancy|uterine torsion]]
|bgcolor="Beige"| [[Ectopic pregnancy]], [[Uterine sarcoma|endometrial stromal sarcoma]],  [[endometrioma]],  [[endometriosis]],  [[endometritis]],  [[Ovarian torsion|fallopian tube torsion]],  [[Ovarian cyst|hemorrhagic ovarian cyst]],  [[hydrosalpinx]],  [[Ovarian cyst|infarction or torsion of ovarian cyst]],  [[Leiomyoma|infarction or torsion of uterine leiomyoma]],  [[Mixed Mullerian tumor|malignant mixed Mullerian tumor]],  [[ovarian hyperstimulation syndrome]],  [[Ovarian cancer|ovarian neoplasm]],  [[pelvic inflammatory disease]],  [[Ectopic pregnancy|rupture of ectopic pregnancy]],  [[Ovarian cyst|ruptured ovarian cyst]],  [[salpingitis]],  [[Pelvic inflammatory disease|tuboovarian abscess]],  [[Complications of pregnancy|uterine torsion]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Oncologic'''
| '''Oncologic'''
|bgcolor="Beige"| [[Colorectal cancer|Ascending colon carcinoma]], [[carcinoid tumor]],  [[Colorectal cancer|cecal carcinoma]],  [[Uterine sarcoma|endometrial stromal sarcoma]],  [[endometrioma]],  [[Leiomyoma|infarction or torsion of uterine leiomyoma]],  [[Mixed Mullerian tumor|malignant mixed Mullerian tumor]],  [[Ovarian cancer|ovarian neoplasm]]
|bgcolor="Beige"| [[Colorectal cancer|Ascending colon carcinoma]], [[carcinoid tumor]],  [[Colorectal cancer|cecal carcinoma]],  [[Uterine sarcoma|endometrial stromal sarcoma]],  [[endometrioma]],  [[Leiomyoma|infarction or torsion of uterine leiomyoma]],  [[Mixed Mullerian tumor|malignant mixed Mullerian tumor]],  [[Ovarian cancer|ovarian neoplasm]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Renal/Electrolyte'''
| '''Renal/Electrolyte'''
|bgcolor="Beige"| [[Cystitis]], [[Henoch-Schönlein purpura]],  [[renal colic]],  [[Kidney stone|ureteral colic]],  [[Kidney stone|ureterolithiasis]],  [[Kidney stone|urolithiasis]]
|bgcolor="Beige"| [[Cystitis]], [[Henoch-Schönlein purpura]],  [[renal colic]],  [[Kidney stone|ureteral colic]],  [[Kidney stone|ureterolithiasis]],  [[Kidney stone|urolithiasis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Rheumatology/Immunology/Allergy'''
| '''Rheumatology/Immunology/Allergy'''
|bgcolor="Beige"| [[Colitis]],  [[Crohn's disease]],  [[Henoch-Schönlein purpura]], [[inflammatory bowel disease]]
|bgcolor="Beige"| [[Colitis]],  [[Crohn's disease]],  [[Henoch-Schönlein purpura]], [[inflammatory bowel disease]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Trauma'''
| '''Trauma'''
|bgcolor="Beige"| [[Abdominal trauma|Collision]], [[Abdominal trauma|falls]], [[Abdominal trauma|visceral laceration or rupture]]
|bgcolor="Beige"| [[Abdominal trauma|Collision]], [[Abdominal trauma|falls]], [[Abdominal trauma|visceral laceration or rupture]]  
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-
|-
|}
|}
<font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font>


===Causes in Alphabetical Order===
===Causes in Alphabetical Order===
{{col-begin|width=85%}}
{{col-begin|width=80%}}
{{col-break|width=33%}}
{{col-break|width=33%}}
*[[Acute appendicitis]]
*[[Acute appendicitis]]
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*[[Henoch-Schönlein purpura]]
*[[Henoch-Schönlein purpura]]
{{col-break|width=33%}}
{{col-break|width=33%}}
*[[Herpes zoster]]
*[[Herpes zoster]]
*[[Hip dislocation]]
*[[Hip dislocation]]
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*[[Mixed Mullerian tumor|Malignant mixed Mullerian tumor]]
*[[Mixed Mullerian tumor|Malignant mixed Mullerian tumor]]
*[[Meckel diverticulitis]]
*[[Meckel diverticulitis]]
*[[Mesenteric ischemia]]
*[[Lymphadenopathy|Mesenteric lymphadenitis]]
*[[Lymphadenopathy|Mesenteric lymphadenitis]]
*[[Mesenteric ischemia]]
*[[Mittelschmerz]]
*[[Mittelschmerz]]
*[[Ovarian hyperstimulation syndrome]]
*[[Ovarian hyperstimulation syndrome]]
*[[Ovarian cancer|Ovarian neoplasm]]
*[[Ovarian cancer|Ovarian neoplasm]]
{{col-break|width=33%}}
{{col-break|width=33%}}
*[[Pelvic inflammatory disease]]
*[[Pelvic inflammatory disease]]
*[[Yersinia|Pseudo appendicitis]]
*[[Yersinia|Pseudo appendicitis]]
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*[[Pelvic inflammatory disease|Tuboovarian abscess]]
*[[Pelvic inflammatory disease|Tuboovarian abscess]]
*[[Typhilitis]]
*[[Typhilitis]]
*[[Kidney stone|Ureteral colic]]
*[[Kidney stone|Ureterolithiasis]]
*[[Kidney stone|Ureterolithiasis]]
*[[Kidney stone|Urolithiasis]]
*[[Kidney stone|Urolithiasis]]
*[[Kidney stone|Ureteral colic]]
*[[Complications of pregnancy|Uterine torsion]]
*[[Complications of pregnancy|Uterine torsion]]
*[[Abdominal trauma|Visceral laceration or rupture]]
*[[Abdominal trauma|Visceral laceration or rupture]]
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==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
{{Gastroenterology}}
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}


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[[Category:Needs causes]]
[[Category:Needs overview]]
 
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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 lower quadrant abdominal pain arises from the distal gastrointestinal tract and is accompanied by other symptoms like diarrhea, hematochezia and tenesmus. With the most common cause being appendicitis, pain from above abdominal and below pelvic structures may also radiate towards this quadrant. In females, obstetric and gynecological causes must also be considered in addition to the usual causes.

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 lower quadrant abdominal pain developed by WikiDoc.org

Common Causes

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

Causes by Organ System

Cardiovascular Leaking aortic aneurysm, mesenteric ischemia
Chemical/Poisoning No underlying causes
Dental No underlying causes
Dermatologic Herpes zoster
Drug Side Effect No underlying causes
Ear Nose Throat No underlying causes
Endocrine Carcinoid tumor
Environmental No underlying causes
Gastroenterologic Acute appendicitis, adhesions, ascending colon carcinoma, ascending colon obstruction, cecal carcinoma, cecal volvulus, colitis, Crohn's disease, ileal obstruction, ileitis, incarcerated inguinal hernia, inflammatory bowel disease, inguinal hernia, intestinal volvulus, intussusception, Meckel diverticulitis, mesenteric ischemia, mesenteric lymphadenitis, pseudo appendicitis, right sided diverticulitis, strangulation, terminal ileitis, typhilitis, Yersinia enterocolitica gastroenteritis
Genetic No underlying causes
Hematologic No underlying causes
Iatrogenic Adhesions
Infectious Disease Adnexitis, colitis, cystitis, endometritis, herpes zoster, ileitis, lymphogranuloma venereum, pelvic inflammatory disease, psoas abscess, salpingitis, seminal vesiculitis, septic arthritis, terminal ileitis, transient synovitis, tuboovarian abscess, typhilitis, Yersinia enterocolitica gastroenteritis
Musculoskeletal/Orthopedic Hip dislocation, psoas abscess, septic arthritis, transient synovitis
Neurologic No underlying causes
Nutritional/Metabolic No underlying causes
Obstetric/Gynecologic Ectopic pregnancy, endometrial stromal sarcoma, endometrioma, endometriosis, endometritis, fallopian tube torsion, hemorrhagic ovarian cyst, hydrosalpinx, infarction or torsion of ovarian cyst, infarction or torsion of uterine leiomyoma, malignant mixed Mullerian tumor, ovarian hyperstimulation syndrome, ovarian neoplasm, pelvic inflammatory disease, rupture of ectopic pregnancy, ruptured ovarian cyst, salpingitis, tuboovarian abscess, uterine torsion
Oncologic Ascending colon carcinoma, carcinoid tumor, cecal carcinoma, endometrial stromal sarcoma, endometrioma, infarction or torsion of uterine leiomyoma, malignant mixed Mullerian tumor, ovarian neoplasm
Ophthalmologic No underlying causes
Overdose/Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary No underlying causes
Renal/Electrolyte Cystitis, Henoch-Schönlein purpura, renal colic, ureteral colic, ureterolithiasis, urolithiasis
Rheumatology/Immunology/Allergy Colitis, Crohn's disease, Henoch-Schönlein purpura, inflammatory bowel disease
Sexual Seminal vesiculitis, testicular torsion, torsion of epididymis
Trauma Collision, falls, visceral laceration or rupture
Urologic No underlying causes
Miscellaneous Colonic pseudoobstruction, foreign body ingestion, inguinal lymphadenopathy

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

Causes in Alphabetical Order

References

  1. ↑ Rennie, AT.; Tytherleigh, MG.; Theodoroupolou, K.; Farouk, R. (2006). "A prospective audit of 300 consecutive young women with an acute presentation of right iliac fossa pain". Ann R Coll Surg Engl. 88 (2): 140–3. doi:10.1308/003588406X94887. PMID 16551402. Unknown parameter |month= ignored (help)
  2. ↑ Millet, I.; Alili, C.; Pages, E.; Curros Doyon, F.; Merigeaud, S.; Taourel, P. (2012). "Infection of the right iliac fossa". Diagn Interv Imaging. 93 (6): 441–52. doi:10.1016/j.diii.2012.04.026. PMID 22658341. Unknown parameter |month= ignored (help)

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