Causes of right flank pain: Difference between revisions

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__NOTOC__
__NOTOC__
{{SI}}
{| class="infobox" style="float:right;"
{{CMG}}; {{VR}}
|-
| [[File:Siren.gif|30px|link=Abdominal pain resident survival guide]]|| <br> || <br>
| [[Abdominal pain resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']]
|}
{| class="infobox" style="float:right;"
|-
| [[File:Critical_Pathways.gif|88px|link=Abdominal pain critical pathways]]|| <br> || <br>
|}
{{Abdominal pain}}
{{CMG}}; {{AE}} {{VR}}


==Overview==
==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==
==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 tubular necrosis]]
*[[Ischemic colitis]]
*[[Ovarian torsion]]
*[[Kidney abscess|Renal abscess]]
*[[Dissection (medical)|Renal artery dissection]]
*[[Renal cyst|Renal cyst rupture or hemorrhage]]
*[[Ruptured abdominal aortic aneurysm]]
*[[Renal vein thrombosis]]
<font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font>


===Common Causes===
===Common Causes===
*[[Muscle spasm|Abdominal muscle spasm]]
*[[Acute pyelonephritis]]
*[[Nephrolithiasis]]
*[[Polycystic kidney disease]]
*[[Renal cyst]]
*[[Urinary tract infection]]<ref>{{Cite journal  | last1 = Wolffram | first1 = S. | last2 = Bisang | first2 = B. | last3 = Grenacher | first3 = B. | last4 = Scharrer | first4 = E. | title = Transport of tri- and dicarboxylic acids across the intestinal brush border membrane of calves. | journal = J Nutr | volume = 120 | issue = 7 | pages = 767-74 | month = Jul | year = 1990 | doi =  | PMID = 2366111 }}</ref><ref>{{Cite journal  | last1 = Christodoulidou | first1 = M. | last2 = Thomas | first2 = M. | last3 = Sharma | first3 = SD. | title = Hydronephrosis and loin pain as a presentation of tubo-ovarian abscess developing after Mirena coil removal. | journal = BMJ Case Rep | volume = 2012 | issue =  | pages =  | month =  | year = 2012 | doi = 10.1136/bcr-03-2012-6108 | PMID = 22865801 }}</ref><ref name="Smith-2012">{{Cite journal  | last1 = Smith | first1 = HS. | last2 = Bajwa | first2 = ZH. | title = Loin pain hematuria syndrome-visceral or neuropathic pain syndrome? | journal = Clin J Pain | volume = 28 | issue = 7 | pages = 646-51 | month = Sep | year = 2012 | doi = 10.1097/AJP.0b013e31823d47f3 | PMID = 22699133 }}</ref>
<font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font>


===Causes by Organ System===
===Causes by Organ System===
{|style="width:82%; height:100px" border="1"
{|style="width:82%; 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" | [[Acute cortical necrosis]],  [[acute tubular necrosis]],  [[arteriovenous malformation]],  [[atheroemboli]],  [[fibromuscular dysplasia]],  [[hypertensive emergency]],  [[hypertensive urgency]],  [[ischemic colitis]],  [[Aneurysm|renal artery aneurysm]],  [[renal artery dissection]],  [[renal infarction]],  [[renal vein thrombosis]],  [[ruptured abdominal aortic aneurysm]],  [[Thromboembolism|thromboemboli]]
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Renal cortical necrosis|Acute cortical necrosis]],  [[acute tubular necrosis]],  [[arteriovenous malformation]],  [[atheroemboli]],  [[fibromuscular dysplasia]],  [[hypertensive emergency]],  [[hypertensive urgency]],  [[ischemic colitis]],  [[Aneurysm|renal artery aneurysm]],  [[Dissection (medical)|renal artery dissection]],  [[renal infarction]],  [[renal vein thrombosis]],  [[ruptured abdominal aortic aneurysm]],  [[Thromboembolism|thromboemboli]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
| '''Drug Side Effect'''
|bgcolor="Beige"| [[Renal papillary necrosis|Acute papillary necrosis]],  [[crystal induced acute kidney injury]],  [[Interstitial nephritis|drug induced interstitial nephritis]]
|bgcolor="Beige"| [[Renal papillary necrosis|Acute papillary necrosis]],  [[Acute renal failure|crystal induced acute kidney injury]],  [[Interstitial nephritis|drug induced interstitial nephritis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Environmental'''
| '''Environmental'''
|bgcolor="Beige"|  
|bgcolor="Beige"| No underlying causes
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
| '''Gastroenterologic'''
|bgcolor="Beige"| [[Acute cholecystitis]],  [[Appendicitis history and symptoms#Atypical Symptoms|appendicitis during pregnancy]],  [[Colorectal cancer|ascending colon carcinoma]],  [[biliary colic]],  [[cholangitis]],  [[cholelithiasis]],  [[colitis]],  [[colon carcinoma]],  [[Echinococcosis]],  [[gall stones]],  [[gallbladder empyema]],  [[hepatitis]],  [[hepatomegaly]],  [[inflammatory bowel disease]],  [[ischemic colitis]],  [[liver abscess]]
|bgcolor="Beige"| [[Acute cholecystitis]],  [[Appendicitis history and symptoms#Atypical Symptoms|appendicitis during pregnancy]],  [[Colorectal cancer|ascending colon carcinoma]],  [[biliary colic]],  [[cholangitis]],  [[cholelithiasis]],  [[colitis]],  [[colon carcinoma]],  [[echinococcosis]],  [[gall stones]],  [[gallbladder empyema]],  [[hepatitis]],  [[hepatomegaly]],  [[inflammatory bowel disease]],  [[ischemic colitis]],  [[liver abscess]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Hematologic'''
| '''Hematologic'''
|bgcolor="Beige"| [[Renal papillary necrosis|Acute papillary necrosis]],  [[coagulopathy]],  [[sickle cell disease]]
|bgcolor="Beige"| [[Renal papillary necrosis|Acute papillary necrosis]],  [[sickle cell disease]],  [[coagulopathy]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Iatrogenic'''
| '''Iatrogenic'''
|bgcolor="Beige"| [[Penile prosthesis#Disadvantages|Infected penile prosthesis]], [[nephrostomy]],  [[pelvic surgery]]
|bgcolor="Beige"| [[Penile prosthesis#Disadvantages|Infected penile prosthesis]], [[nephrostomy]],  [[Surgery|pelvic surgery]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Infectious Disease'''
| '''Infectious Disease'''
|bgcolor="Beige"| [[Nephritis|Acute nephritis]], [[acute pyelonephritis]],  [[adrenal hemorrhage]],  [[bilharziosis]],  [[candidemia]],  [[cholangitis]],  [[colitis]],  [[echinococcosis]],  [[Kidney abscess|emphysematous pyelitis]],  [[Aspergillosis|fungal bezoars]],  [[fungemia]],  [[Aspergillosis|fungus balls]],  [[herpes zoster]],  [[liver abscess]],  [[pelvic inflammatory disease]],  [[perinephric abscess]],  [[poststreptococcal glomerulonephritis]],  [[psoas abscess]],  [[Kidney abscess|renal abscess]],  [[Zygomycosis history and symptoms#Symptoms of kidney (renal) zygomycosis include|renal mucormycosis]],  [[Zygomycosis history and symptoms#Symptoms of kidney (renal) zygomycosis include|renal zygomycosis]],  [[retroperitoneal abscess]],  [[urinary tract infection]],  [[Tuberculosis|urogenital tuberculosis]],  [[Urinary tract infection natural history, complications and prognosis|urosepsis]]
|bgcolor="Beige"| [[Nephritis|Acute nephritis]], [[acute pyelonephritis]],  [[adrenal hemorrhage]],  [[bilharziosis]],  [[candidemia]],  [[cholangitis]],  [[colitis]],  [[echinococcosis]],  [[Kidney abscess|emphysematous pyelitis]],  [[Bezoar|fungal bezoars]],  [[fungemia]],  [[Aspergillosis|fungus balls]],  [[herpes zoster]],  [[liver abscess]],  [[pelvic inflammatory disease]],  [[Kidney abscess|perinephric abscess]],  [[poststreptococcal glomerulonephritis]],  [[psoas abscess]],  [[Kidney abscess|renal abscess]],  [[Zygomycosis history and symptoms#Symptoms of kidney (renal) zygomycosis include|renal mucormycosis]],  [[Zygomycosis history and symptoms#Symptoms of kidney (renal) zygomycosis include|renal zygomycosis]],  [[urinary tract infection]],  [[Urinary tract infection natural history, complications and prognosis|urosepsis]],  [[Tuberculosis|urogenital tuberculosis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Musculoskeletal/Orthopedic'''
| '''Musculoskeletal/Orthopedic'''
|bgcolor="Beige"| [[Muscle spasm|Abdominal muscle spasm]], [[Muscle strain|abdominal muscle strain]],  [[Abdominal trauma|abdominal muscle tear]],  [[disc disease]],  [[Back pain|referred pain from back]],  [[Arthritis|spinal arthritis]]
|bgcolor="Beige"| [[Muscle spasm|Abdominal muscle spasm]], [[Muscle strain|abdominal muscle strain]],  [[Abdominal trauma|abdominal muscle tear]],  [[disc disease]],  [[Back pain|referred pain from back]],  [[Arthritis|spinal arthritis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Obstetric/Gynecologic'''
| '''Obstetric/Gynecologic'''
|bgcolor="Beige"| [[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]],
|bgcolor="Beige"| [[Adnexitis]], [[ectopic pregnancy]],  [[endometriosis]],  [[Complications of pregnancy#Flank pain|outwards pressure on the ribs from the growing uterus]],  [[ovarian cyst]],  [[ovarian torsion]],  [[ovarian tumor]],  [[pelvic inflammatory disease]],  [[Surgery|pelvic surgery]],  [[polyembryoma]],  [[Complications of pregnancy#Flank pain|stretching of tissues around the uterus]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Oncologic'''
| '''Oncologic'''
|bgcolor="Beige"| [[Adrenocortical carcinoma]], [[angiomyolipoma]],  [[Colorectal cancer|ascending colon carcinoma]],  [[bladder carcinoma]],  [[collecting duct carcinoma]],  [[colon carcinoma]],  [[metastatic tumors to the renal pelvis]],  [[oncocytoma]],  [[ovarian tumor]],  [[polyembryoma]],  [[renal cell carcinoma]],  [[transitional cell carcinoma]],  [[Wilms tumor]]
|bgcolor="Beige"| [[Adrenocortical carcinoma]], [[angiomyolipoma]],  [[Colorectal cancer|ascending colon carcinoma]],  [[bladder carcinoma]],  [[Renal cell carcinoma|collecting duct carcinoma]],  [[colon carcinoma]],  [[oncocytoma]],  [[ovarian tumor]],  [[polyembryoma]],  [[renal cell carcinoma]],  [[transitional cell carcinoma]],  [[Wilms tumor]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Psychiatric'''
| '''Psychiatric'''
|bgcolor="Beige"| [[Somatoform pain disorder]]
|bgcolor="Beige"| [[Somatoform disorder]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Renal/Electrolyte'''
| '''Renal/Electrolyte'''
|bgcolor="Beige"| [[Acute cortical necrosis]],  [[acute kidney injury]], [[Nephritis|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 ureters]],  [[Kidney abscess|emphysematous pyelitis]],  [[fibromuscular dysplasia]],  [[glomerulonephritis]],  [[hydronephrosis]],  [[hypercalciuria]],  [[IgA nephropathy]],  [[infected penile prosthesis]],  [[loin pain hematuria syndrome]],  [[malakoplakia]],  [[megaureter]],  [[metastatic tumors to the renal pelvis]],  [[nephrolithiasis]],  [[nephroptosis]],  [[nephrostomy tubes]],  [[neurogenic bladder]],  [[obstructive uropathy]],  [[paroxysmal nocturnal haemoglobinuria]],  [[perinephric abscess]],  [[polycystic kidney disease]],  [[post renal transplantation]],  [[posterior urethral valves]],  [[poststreptococcal glomerulonephritis]],  [[reflux nephropathy]],  [[Kidney abscess|renal abscess]],  [[renal artery aneurysm]],  [[renal artery dissection]],  [[renal artery embolism]],  [[renal cell carcinoma]],  [[renal cyst infection]],  [[renal cyst rupture or hemorrhage]],  [[renal cyst]],  [[renal dystopia]],  [[renal infarction]],  [[Zygomycosis history and symptoms#Symptoms of kidney (renal) zygomycosis include|Renal mucormycosis]],  [[renal papillary necrosis]],  [[renal thromboembolism]],  [[renal trauma]],  [[renal vein thrombosis]],  [[Zygomycosis history and symptoms#Symptoms of kidney (renal) zygomycosis include|renal zygmycosis]],  [[thin basement membrane nephropathy]],  [[transitional cell carcinoma]],  [[tubulointerstitial nephritis]],  [[upper genitourinary tract injury]],  [[ureteropelvic junction obstruction]],  [[urinary tract infection]],  [[Tuberculosis|urogenital tuberculosis]],  [[urolithiasis]],  [[Urinary tract infection natural history, complications and prognosis|urosepsis]], [[Wilms tumor]]
|bgcolor="Beige"| [[Renal cortical necrosis|Acute cortical necrosis]],  [[acute kidney injury]], [[Nephritis|acute nephritis]],  [[Renal papillary necrosis|acute papillary necrosis]],  [[acute pyelonephritis]],  [[acute tubular necrosis]],  [[acute uric acid nephropathy]],  [[Alport's syndrome]],  [[angiomyolipoma]],  [[bladder carcinoma]],  [[calix diverticulum]],  [[Renal cell carcinoma|collecting duct carcinoma]],  [[Acute renal failure|crystal induced acute kidney injury]],  [[Interstitial nephritis|drug induced interstitial nephritis]],  [[ectopic ureter]],  [[Kidney abscess|emphysematous pyelitis]],  [[fibromuscular dysplasia]],  [[glomerulonephritis]],  [[hydronephrosis]],  [[hypercalciuria]],  [[IgA nephropathy]],  [[Penile prosthesis#Disadvantages|Infected penile prosthesis]],  [[loin pain hematuria syndrome]],  [[malakoplakia]],  [[megaureter]],  [[nephrolithiasis]],  [[nephroptosis]],  [[nephrostomy]],  [[neurogenic bladder]],  [[obstructive uropathy]],  [[paroxysmal nocturnal haemoglobinuria]],  [[Kidney abscess|perinephric abscess]],  [[polycystic kidney disease]],  [[Renal transplantation#Complications|post renal transplantation]],  [[posterior urethral valves]],  [[poststreptococcal glomerulonephritis]],  [[reflux nephropathy]],  [[Kidney abscess|renal abscess]],  [[Aneurysm|renal artery aneurysm]],  [[Dissection (medical)|renal artery dissection]],  [[renal cell carcinoma]],  [[renal cyst]],  [[Renal cyst|renal cyst infection]],  [[Renal cyst|renal cyst rupture or hemorrhage]],  [[Renal ectopia|renal dystopia]],  [[renal infarction]],  [[Zygomycosis history and symptoms#Symptoms of kidney (renal) zygomycosis include|Renal mucormycosis]],  [[renal papillary necrosis]],  [[Abdominal trauma|renal trauma]],  [[renal vein thrombosis]],  [[Zygomycosis history and symptoms#Symptoms of kidney (renal) zygomycosis include|renal zygmycosis]],  [[thin basement membrane nephropathy]],  [[transitional cell carcinoma]],  [[tubulointerstitial nephritis]],  [[ureteropelvic junction obstruction]],  [[urinary tract infection]],  [[Tuberculosis|urogenital tuberculosis]],  [[urolithiasis]],  [[Urinary tract infection natural history, complications and prognosis|urosepsis]], [[Wilms' tumor]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Rheumatology/Immunology/Allergy'''
| '''Rheumatology/Immunology/Allergy'''
|bgcolor="Beige"| [[Acute nephritis]], [[Alport's syndrome]],  [[Ormond's disease]],  [[paroxysmal nocturnal haemoglobinuria]],  [[post renal transplantation]],  [[poststreptococcal glomerulonephritis]]
|bgcolor="Beige"| [[Nephritis|Acute nephritis]], [[Alport's syndrome]],  [[Ormond's disease]],  [[paroxysmal nocturnal haemoglobinuria]],  [[Renal transplantation#Complications|post renal transplantation]],  [[poststreptococcal glomerulonephritis]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Trauma'''
| '''Trauma'''
|bgcolor="Beige"| [[Abdominal muscle strain]],  [[Abdominal trauma|abdominal muscle tear]],  [[Abdominal trauma|perforation of a viscus]],  [[Abdominal trauma|renal trauma]]
|bgcolor="Beige"| [[Muscle strain|Abdominal muscle strain]],  [[Abdominal trauma|abdominal muscle tear]],  [[Abdominal trauma|perforation of a viscus]],  [[Abdominal trauma|renal trauma]]
|-
|-
|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
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|-bgcolor="LightSteelBlue"
|-bgcolor="LightSteelBlue"
| '''Miscellaneous'''
| '''Miscellaneous'''
|bgcolor="Beige"| [[Exercise]], [[lymphangiomas]],  [[multifocal fibrosclerosis]],  [[retroperitoneal fibrosis]],  [[retroperitoneal hematoma or bleed]],  [[tuberous sclerosis]]
|bgcolor="Beige"| [[Exercise]], [[lymphangioma]],  [[multifocal fibrosclerosis]],  [[retroperitoneal fibrosis]],  [[retroperitoneal hematoma]],  [[tuberous sclerosis]]
|-
|-
|}
|}
<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%}}
*[[Muscle spasm|Abdominal muscle spasm]]
*[[Muscle spasm|Abdominal muscle spasm]]
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*[[Abdominal trauma|Abdominal muscle tear]]
*[[Abdominal trauma|Abdominal muscle tear]]
*[[Acute cholecystitis]]
*[[Acute cholecystitis]]
*[[Acute cortical necrosis]]
*[[Renal cortical necrosis|Acute cortical necrosis]]
*[[Acute kidney injury]]
*[[Acute kidney injury]]
*[[Nephritis|Acute nephritis]]
*[[Nephritis|Acute nephritis]]
Line 144: Line 173:
*[[Alport's syndrome]]
*[[Alport's syndrome]]
*[[Angiomyolipoma]]
*[[Angiomyolipoma]]
*[[Appendicitis history and symptoms#Atypical Symptoms|appendicitis during pregnancy]]
*[[Appendicitis history and symptoms#Atypical Symptoms|Appendicitis during pregnancy]]
*[[Arteriovenous malformation]]
*[[Arteriovenous malformation]]
*[[Colorectal cancer|Ascending colon carcinoma]]
*[[Colorectal cancer|Ascending colon carcinoma]]
Line 157: Line 186:
*[[Coagulopathy]]
*[[Coagulopathy]]
*[[Colitis]]
*[[Colitis]]
*[[Collecting duct carcinoma]]
*[[Renal cell carcinoma|Collecting duct carcinoma]]
*[[Colon carcinoma]]
*[[Colon carcinoma]]
*[[Crystal-induced acute kidney injury]]
*[[Acute renal failure|Crystal induced acute kidney injury]]
*[[Disc disease]]
*[[Disc disease]]
*[[Interstitial nephritis|Drug induced interstitial nephritis]]
*[[Interstitial nephritis|Drug induced interstitial nephritis]]
*[[Echinococcosis]]
*[[Echinococcosis]]
*[[Ectopic pregnancy]]
*[[Ectopic pregnancy]]
*[[Ectopic ureters]]
*[[Ectopic ureter]]
*[[Kidney abscess|Emphysematous pyelitis]]
*[[Kidney abscess|Emphysematous pyelitis]]
*[[Endometriosis]]
*[[Endometriosis]]
*[[Exercise]]
*[[Exercise]]
*[[Fibromuscular dysplasia]]
*[[Fibromuscular dysplasia]]
*[[Aspergillosis|Fungal bezoars]]
{{col-break|width=33%}}
 
*[[Bezoar|Fungal bezoars]]
*[[Fungemia]]
*[[Fungemia]]
{{col-break|width=33%}}
*[[Aspergillosis|Fungus balls]]
*[[Aspergillosis|Fungus balls]]
*[[Gall stones]]
*[[Gall stones]]
Line 185: Line 215:
*[[IgA nephropathy]]
*[[IgA nephropathy]]
*[[Penile prosthesis#Disadvantages|Infected penile prosthesis]]
*[[Penile prosthesis#Disadvantages|Infected penile prosthesis]]
*[[Inflammatory bowel diseases]]
*[[Inflammatory bowel disease]]
*[[Ischemic colitis]]
*[[Ischemic colitis]]
*[[Liver abscess]]
*[[Liver abscess]]
*[[Loin pain-hematuria syndrome]]
*[[Loin pain hematuria syndrome]]
*[[Lymphangiomas]]
*[[Lymphangioma]]
*[[Malakoplakia]]
*[[Malakoplakia]]
*[[Megaureter]]
*[[Megaureter]]
*[[Metastatic tumors to the renal pelvis]]
*[[Multifocal fibrosclerosis]]
*[[Multifocal fibrosclerosis]]
*[[Nephrolithiasis]]
*[[Nephrolithiasis]]
Line 202: Line 231:
*[[Oncocytoma]]
*[[Oncocytoma]]
*[[Ormond's disease]]
*[[Ormond's disease]]
*[[Outwards pressure on the ribs from the growing uterus]]
*[[Complications of pregnancy#Flank pain|Outwards pressure on the ribs from the growing uterus]]
*[[Ovarian cyst]]
*[[Ovarian cyst]]
*[[Ovarian torsion]]
*[[Ovarian torsion]]
*[[Ovarian tumour]]
*[[Ovarian tumor]]
*[[Paroxysmal nocturnal haemoglobinuria]]
*[[Paroxysmal nocturnal haemoglobinuria]]
*[[Pelvic inflammatory disease]]
*[[Pelvic inflammatory disease]]
*[[Pelvic surgery]]
*[[Surgery|Pelvic surgery]]
*[[Abdominal trauma|Perforation of a viscus]]
*[[Abdominal trauma|Perforation of a viscus]]
*[[Perinephric abscess]]
*[[Kidney abscess|Perinephric abscess]]
*[[Polycystic kidney disease]]
*[[Polycystic kidney disease]]
{{col-break|width=33%}}
*[[Polyembryoma]]
*[[Polyembryoma]]
*[[Post renal transplantation]]
*[[Renal transplantation#Complications|Post renal transplantation]]
*[[Posterior urethral valves]]
*[[Posterior urethral valves]]
{{col-break|width=33%}}
*[[Poststreptococcal glomerulonephritis]]
*[[Poststreptococcal glomerulonephritis]]
*[[Psoas abscess]]
*[[Psoas abscess]]
Line 222: Line 252:
*[[Kidney abscess|Renal abscess]]
*[[Kidney abscess|Renal abscess]]
*[[Aneurysm|Renal artery aneurysm]]
*[[Aneurysm|Renal artery aneurysm]]
*[[Renal artery dissection ]]
*[[Dissection (medical)|Renal artery dissection]]
*[[Renal cell carcinoma]]
*[[Renal cell carcinoma]]
*[[Renal cyst infection]]
*[[Renal cyst rupture or hemorrhage]]
*[[Renal cyst]]
*[[Renal cyst]]
*[[Renal dystopia]]
*[[Renal cyst|Renal cyst infection]]
*[[Renal cyst|Renal cyst rupture or hemorrhage]]
*[[Renal ectopia|Renal dystopia]]
*[[Renal infarction]]
*[[Renal infarction]]
*[Zygomycosis history and symptoms#Symptoms of kidney (renal) zygomycosis include|Renal mucormycosis]]
*[[Zygomycosis history and symptoms#Symptoms of kidney (renal) zygomycosis include|Renal mucormycosis]]
*[[Renal papillary necrosis]]
*[[Renal papillary necrosis]]
*[[Abdominal trauma|Renal trauma]]
*[[Abdominal trauma|Renal trauma]]
*[[Renal vein thrombosis]]
*[[Renal vein thrombosis]]
*[[Zygomycosis history and symptoms#Symptoms of kidney (renal) zygomycosis include|Renal zygmycosis]]
*[[Zygomycosis history and symptoms#Symptoms of kidney (renal) zygomycosis include|Renal zygmycosis]]
*[[Retroperitoneal abscess]]
*[[Retroperitoneal fibrosis]]
*[[Retroperitoneal fibrosis]]
*[[Retroperitoneal hematoma or bleed]]
*[[Retroperitoneal hematoma]]
*[[Ruptured abdominal aortic aneurysm]]
*[[Ruptured abdominal aortic aneurysm]]
*[[Sickle cell disease]]
*[[Sickle cell disease]]
*[[Somatoform pain disorder]]
*[[Somatoform disorder]]
*[[Arthritis|Spinal arthritis]]
*[[Arthritis|Spinal arthritis]]
*[[Stretching of tissues around the uterus]]
*[[Complications of pregnancy#Flank pain|Stretching of tissues around the uterus]]
*[[Thin basement membrane nephropathy]]
*[[Thin basement membrane nephropathy]]
*[[Thromboembolism|Thromboemboli]]
*[[Thromboembolism|Thromboemboli]]
Line 247: Line 276:
*[[Tuberous sclerosis]]
*[[Tuberous sclerosis]]
*[[Tubulointerstitial nephritis]]
*[[Tubulointerstitial nephritis]]
*[[Upper genitourinary tract injury]]
*[[Ureteropelvic junction obstruction]]
*[[Ureteropelvic junction obstruction]]
*[[Urinary tract infection]]
*[[Urinary tract infection]]
Line 254: Line 282:
*[[Urinary tract infection natural history, complications and prognosis|Urosepsis]]
*[[Urinary tract infection natural history, complications and prognosis|Urosepsis]]
*[[Vesicoureteral reflux]]
*[[Vesicoureteral reflux]]
*[[Wilms tumor]]
*[[Wilms' tumor]]
*[[Xanthine oxidase deficiency]]
*[[Xanthine oxidase deficiency]]
{{col-end}}
{{col-end}}
<font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font>


== References ==
==References==
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[[Category:Up-To-Date]]

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

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

  1. ↑ 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. Unknown parameter |month= ignored (help)
  2. ↑ 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.
  3. ↑ 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. Unknown parameter |month= ignored (help)

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