Causes of right flank pain: Difference between revisions

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{{CMG}}; {{VR}}
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| [[Abdominal pain resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']]
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{| class="infobox" style="float:right;"
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{{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 right ureter. But similar pain is sometimes caused by extraurinary abnormalities.
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]]
*[[Acute tubular necrosis]]
*[[Ischemic colitis]]
*[[Ischemic colitis]]
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*[[Renal cyst|Renal cyst rupture or hemorrhage]]
*[[Renal cyst|Renal cyst rupture or hemorrhage]]
*[[Ruptured abdominal aortic aneurysm]]
*[[Ruptured abdominal aortic aneurysm]]
*[[Renal vein thrombosis]]
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===Common Causes===
===Common Causes===
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*[[Renal cyst]]
*[[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>
*[[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>
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===Causes by Organ System===
===Causes by Organ System===
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|-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]],  [[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="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]]
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===Causes in Alphabetical Order===
===Causes in Alphabetical Order===
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*[[Fibromuscular dysplasia]]
*[[Fibromuscular dysplasia]]
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{{col-break|width=33%}}
*[[Aspergillosis|Fungal bezoars]]
 
*[[Bezoar|Fungal bezoars]]
*[[Fungemia]]
*[[Fungemia]]
*[[Aspergillosis|Fungus balls]]
*[[Aspergillosis|Fungus balls]]
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*[[Polycystic kidney disease]]
*[[Polycystic kidney disease]]
{{col-break|width=33%}}
{{col-break|width=33%}}
*[[Polyembryoma]]
*[[Polyembryoma]]
*[[Renal transplantation#Complications|Post renal transplantation]]
*[[Renal transplantation#Complications|Post renal transplantation]]
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*[[Xanthine oxidase deficiency]]
*[[Xanthine oxidase deficiency]]
{{col-end}}
{{col-end}}
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== References ==
==References==
{{Reflist|2}}
{{Reflist|2}}
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{{WikiDoc Sources}}


[[Category:Nephrology]]
[[Category:Crowdiagnosis]]
[[Category:Musculoskeletal Disease]]
[[Category:Emergency medicine]]
[[Category:Musculoskeletal Disease]]
[[Category:Gastroenterology]]
[[Category:Signs and symptoms]]
[[Category:Gynecology]]
[[Category:Medicine]]
[[Category:Surgery]]
[[Category:Up-To-Date]]
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{{WH}}
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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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