Causes of left flank pain: Difference between revisions

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Revision as of 14:34, 8 August 2013

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Mugilan Poongkunran M.B.B.S [2]

Overview

Left flank pain refers to pain that is located below the ribs and above the pelvis and on the left side. Flank pain is often the sign of kidney problems, but it can also point to other pathologies arising from descending colon, small intestine, peritoneum, abdominal muscles and on rare occasion pancreas. Women experience flank pain more commonly than men because of increased risk of urinary tract infections.

Causes of Left Flank Pain

Life Threatening Causes

Common Causes

Causes by Organ System

Cardiovascular	Abdominal aortic aneurysm rupture, ischemic colitis, malignant hypertension, mesenteric artery ischemia, pulmonary embolism, pulmonary infarction, renal artery dissection, renal artery embolism, renal infarction, renal vein thrombosis, rheumatoid vasculitis, splenic artery embolization, splenic infarction, systemic vasculitis
Chemical/Poisoning	Aluminum toxicity, arsenic poisoning, cadmium toxicity, chromium poisoning, copper poisoning, ecstasy overdose, ethylene glycol poisoning, food poisoning, gold, heavy metals, iron poisoning, lead poisoning, mercury poisoning, methanol, organophosphate poisoning, silver poisoning, toxic mushrooms
Dental	No underlying causes
Dermatologic	Scarlet fever, scleroderma, shingles
Drug Side Effect	Aspirin, contrast agents, bleomycin, chemotherapeutic agents, cisplatin, colchicine, cyclosporin, diclofenac, fentanyl toxicity, ibuprofen, indomethacin, malignant hyperthermia, mercaptopurine, methotrexate, metronidazole, naproxen, nonsteroidal anti-inflammatory drugs (NSAIDs), pentamidine, Reye's syndrome, salicylates, statin, steroid abuse, sulindac, tetracycline, thrombolytic therapy, tramadol toxicity, vitamin D toxicity, warfarin
Ear Nose Throat	No underlying causes
Endocrine	Addisonian crisis, adrenal hemorrhage, carcinoid, diabetic ketoacidosis, multiple endocrine neoplasia type 1
Environmental	Organophosphate poisoning
Gastroenterologic	Abdominal compartment syndrome, acute diverticulitis, acute pancreatitis, chronic constipation, collagenous colitis, colon cancer, colonic lymphoma, congestive splenomegaly, Crohn's disease, eosinophilic gastroenteritis, familial adenomatous polyposis, gastroenteritis, gout, hepatorenal syndrome, intestinal pseudo-obstruction, intussusception, irritable bowel syndrome, ischemic colitis, malignant peritoneal mesothelioma, milk-alkali syndrome, perforated gastric ulcer, peritonitis, polycystic kidney disease, porphyria, scarlet fever, scleroderma, splenic abscess, splenic infarction, subphrenic abscess, traumatic splenic rupture, ulcerative colitis, visceral hamartoma, visceral hemangioma, volvulus, wandering spleen syndrome
Genetic	Colon atresia, cystinuria, Dent's disease, familial adenomatous polyposis, homocystinuria, Meckel syndrome, polycystic kidney disease, porphyria, primary hyperoxaluria, sickle cell anemia, tuberous sclerosis, Von Hippel-Lindau Disease, WAGR syndrome, Williams syndrome
Hematologic	Antiphospholipid syndrome, lymphoma, porphyria, sickle cell anemia
Iatrogenic	Cystometry, dialysis, exercise, intra abdominal adhesions, pelvic surgery, percutaneous renal biopsy, radiation therapy, referred pain, splenic artery embolization, vitamin D toxicity
Infectious Disease	Fungal bezoars, gastroenteritis, HIV, inflammatory pleural effusions, intestinal worm infestation, mediterranean spotted fever, miliary tuberculosis, mycobacterium avium complex, perinephric abscess, peritonitis, pneumonia, post streptococcal glomerulonephritis, pyelonephritis, renal abscess, renal mucormycosis, renal tuberculosis, retroperitoneal abscess, shingles, splenic abscess, urinary tract infection, urosepsis, viral hemorrhagic fevers
Musculoskeletal/Orthopedic	Abdominal muscle spasm, abdominal muscle strain, abdominal muscle tear, disc disease, gout, referred pain from back, spinal arthritis
Neurologic
Nutritional/Metabolic	Carbohydrate-deficient glycoprotein syndrome, cystinuria, homocystinuria, hyperuricaemia, oxalosis
Obstetric/Gynecologic	Eclampsia, ectopic pregnancy, endometriosis, gestational trophoblastic disease, ovarian torsion, pelvic inflammatory disease
Oncologic	Colon cancer, colonic lymphoma, familial adenomatous polyposis, malignant peritoneal mesothelioma, renal angiosarcoma, renal cell carcinoma, tuberous sclerosis, tumor lysis syndrome, visceral hamartoma, visceral hemangioma, Von Hippel-Lindau disease, WAGR syndrome, Wilms' tumor
Ophthalmologic	No underlying causes
Overdose/Toxicity	Cocaine overdose, contrast agents, fentanyl toxicity, steroid abuse, tramadol toxicity
Psychiatric	Intestinal pseudo-obstruction, irritable bowel syndrome
Pulmonary	Empyema, inflammatory pleural effusions, pneumonia, pulmonary embolism, pulmonary infarction, systemic lupus erythematosus, Wegener's granulomatosis
Renal/Electrolyte	Acute kidney injury, Alport syndrome, cystinuria, Dent's disease, Denys-Drash syndrome, Goodpasture syndrome, homocystinuria, loin pain hematuria syndrome, Meckel syndrome, medullary cystic kidney disease, megaureter, membranoproliferative glomerulonephritis, myoglobinuria, nephrocalcinosis, neurogenic bladder, oxalosis, perinephric abscess, polycystic kidney disease, post renal transplantation, post streptococcal glomerulonephritis, posterior urethral valves, pyelonephritis, reflux nephropathy, renal angiosarcoma, renal cell carcinoma, renal mucormycosis, renal papillary necrosis, renal thromboembolism, renal tuberculosis, renal tubular acidosis, ureterocele , retroperitoneal fibrosis, scleroderma, systemic lupus erythematosus, tuberous sclerosis, tubulointerstitial nephritis, Turner syndrome, ureteral strictures, urinary outflow obstruction, urinary tract infection, vesicoureteral reflux, Von Hippel-Lindau disease, WAGR syndrome, Wegener's granulomatosis, Weil syndrome, Williams syndrome, Wilms tumor, xanthogranulomatous pyelonephritis
Rheumatology/Immunology/Allergy	Allergic gastroenteropathy, Crohn's disease, Ormond's disease, paroxysmal nocturnal haemoglobinuria, post renal transplantation, poststreptococcal glomerulonephritis, Reye's syndrome, rheumatoid vasculitis, scarlet fever, systemic lupus erythematosus, systemic vasculitis, ulcerative colitis, Wegener's granulomatosis
Sexual	Denys-Drash syndrome, Turner syndrome
Trauma	Abdominal muscle strain, abdominal muscle tear, disc prolapse, electrical burns, radiculitis, rib fractures, traumatic splenic rupture
Urologic	No underlying causes
Miscellaneous	Chronic constipation, idiopathic, splenosis

Causes by Organ System developed by WikiDoc.org, Copyleft 2013

Causes in Alphabetical Order

Causes of Causes of left flank pain developed by WikiDoc.org, Copyleft 2013

References

Template:WH Template:WS

@@ Line 14: / Line 14: @@
 ==Overview==
-Left flank pain refers to pain that is located below the ribs and above the pelvis and on the left side.  Flank pain is often the sign of kidney problems, but it can also point to other pathologies arising from descending colon, small intestine, peritonium, abdominal muscles and on rare occasion pancreas.  Women experience flank pain more commonly than men because of increased risk of urinary tract infections.
+Left flank pain refers to pain that is located below the ribs and above the pelvis and on the left side.  Flank pain is often the sign of kidney problems, but it can also point to other pathologies arising from descending colon, small intestine, peritoneum, abdominal muscles and on rare occasion pancreas.  Women experience flank pain more commonly than men because of increased risk of urinary tract infections.
 ==Causes of Left Flank Pain==
@@ Line 32: / Line 32: @@
 *[[Pulmonary embolism]]
 *[[Pulmonary infarction]]
-*[[abdominal abscess|Renal abscess]]
+*[[kidney abscess|Renal abscess]]
 *[[renovascular disease|Renal artery dissection]]
 *[[rupture spleen|Traumatic splenic rupture]]
@@ Line 102: / Line 102: @@
 |-bgcolor="LightSteelBlue"
 | '''Infectious Disease'''
-|bgcolor="Beige"| [[aspergillus|Fungal bezoars]], [[gastroenteritis]], [[HIV]], [[pleural effusion|inflammatory pleural effusions]], [[parasitic worm|intestinal worm infestation]], [[mediterranean spotted fever]], [[miliary tuberculosis]], [[mycobacterium avium complex]], [[abdominal abscess|perinephric abscess]], [[peritonitis]], [[pneumonia]], [[post streptococcal glomerulonephritis]], [[pyelonephritis]], [[abdominal abscess|renal abscess]], [[mucormycosis|renal mucormycosis]], [[renal tuberculosis]], [[abdominal abscess|retroperitoneal abscess]], [[shingles]], [[abdominal abscess|splenic abscess]], [[urinary tract infection]], [[sepsis|urosepsis]], [[dengue|viral hemorrhagic fevers]]
+|bgcolor="Beige"| [[aspergillus|Fungal bezoars]], [[gastroenteritis]], [[HIV]], [[pleural effusion|inflammatory pleural effusions]], [[parasitic worm|intestinal worm infestation]], [[mediterranean spotted fever]], [[miliary tuberculosis]], [[mycobacterium avium complex]], [[abdominal abscess|perinephric abscess]], [[peritonitis]], [[pneumonia]], [[post streptococcal glomerulonephritis]], [[pyelonephritis]], [[kidney abcess|renal abscess]], [[mucormycosis|renal mucormycosis]], [[renal tuberculosis]], [[abdominal abscess|retroperitoneal abscess]], [[shingles]], [[abdominal abscess|splenic abscess]], [[urinary tract infection]], [[sepsis|urosepsis]], [[dengue|viral hemorrhagic fevers]]
 |-
 |-bgcolor="LightSteelBlue"
 | '''Musculoskeletal/Orthopedic'''
-|bgcolor="Beige"| [[spasm|Abdominal muscle spasm]], [[strain|abdominal muscle strain]], [[injury|abdominal muscle tear]], [[spinal disc herniation|disc disease]], [[gout]], [[referred pain|referred pain from back]], [[arthritis|spinal arthritis]]
+|bgcolor="Beige"| [[spasm|Abdominal muscle spasm]], [[strain|abdominal muscle strain]], [[strain|abdominal muscle tear]], [[spinal disc herniation|disc disease]], [[gout]], [[referred pain|referred pain from back]], [[arthritis|spinal arthritis]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 142: / Line 142: @@
 |-bgcolor="LightSteelBlue"
 | '''Renal/Electrolyte'''
-|bgcolor="Beige"| [[Acute kidney injury]], [[Alport syndrome]], [[cystinuria]], [[Dent's disease]], [[Denys-Drash syndrome]], [[Goodpasture syndrome]], [[homocystinuria]], [[loin pain hematuria syndrome]], [[Meckel syndrome]], [[medullary cystic kidney disease]], [[megaureter]], [[membranoproliferative glomerulonephritis]], [[myoglobinuria]], [[nephrocalcinosis]], [[neurogenic bladder]], [[oxalosis]], [[abdominal abscess|perinephric abscess]], [[polycystic kidney disease]], [[kidney transplantation|post renal transplantation]], [[post streptococcal glomerulonephritis]], [[posterior urethral valves]], [[pyelonephritis]], [[reflux nephropathy]], [[hemangiosarcoma|renal angiosarcoma]], [[renal cell carcinoma]], [[mucormycosis|renal mucormycosis]], [[renal papillary necrosis]], [[renovascular disease|renal thromboembolism]], [[renal tuberculosis]], [[renal tubular acidosis]], [[ureterocele]] , [[retroperitoneal fibrosis]], [[scleroderma]], [[systemic lupus erythematosus]], [[tuberous sclerosis]], [[tubulointerstitial nephritis]], [[Turner syndrome]], [[cystometry|ureteral strictures]], [[obstructive uropathy|urinary outflow obstruction]], [[urinary tract infection]], [[vesicoureteral reflux]], [[Von Hippel-Lindau disease]], [[WAGR syndrome]], [[Wegener's granulomatosis]], [[Weil syndrome]], [[Williams syndrome]], [[Wilms tumor]], [[pyelonephritis|xanthogranulomatous pyelonephritis]]
+|bgcolor="Beige"| [[Acute kidney injury]], [[Alport syndrome]], [[cystinuria]], [[Dent's disease]], [[Denys-Drash syndrome]], [[Goodpasture syndrome]], [[homocystinuria]], [[loin pain hematuria syndrome]], [[Meckel syndrome]], [[medullary cystic kidney disease]], [[megaureter]], [[membranoproliferative glomerulonephritis]], [[myoglobinuria]], [[nephrocalcinosis]], [[neurogenic bladder]], [[oxalosis]], [[kidney abscess|perinephric abscess]], [[polycystic kidney disease]], [[kidney transplantation|post renal transplantation]], [[post streptococcal glomerulonephritis]], [[posterior urethral valves]], [[pyelonephritis]], [[reflux nephropathy]], [[hemangiosarcoma|renal angiosarcoma]], [[renal cell carcinoma]], [[mucormycosis|renal mucormycosis]], [[renal papillary necrosis]], [[renovascular disease|renal thromboembolism]], [[renal tuberculosis]], [[renal tubular acidosis]], [[ureterocele]] , [[retroperitoneal fibrosis]], [[scleroderma]], [[systemic lupus erythematosus]], [[tuberous sclerosis]], [[tubulointerstitial nephritis]], [[Turner syndrome]], [[cystometry|ureteral strictures]], [[obstructive uropathy|urinary outflow obstruction]], [[urinary tract infection]], [[vesicoureteral reflux]], [[Von Hippel-Lindau disease]], [[WAGR syndrome]], [[Wegener's granulomatosis]], [[Weil syndrome]], [[Williams syndrome]], [[Wilms tumor]], [[pyelonephritis|xanthogranulomatous pyelonephritis]]
 |-
 |-bgcolor="LightSteelBlue"
 | '''Rheumatology/Immunology/Allergy'''
-|bgcolor="Beige"| [[eosinophilic gastroenteritis|Allergic gastroenteropathy]], [[crohn's disease]], [[Ormond's disease]], [[paroxysmal nocturnal haemoglobinuria]], [[kidney transplantation|post renal transplantation]], [[poststreptococcal glomerulonephritis]], [[Reye's syndrome]], [[rheumatoid vasculitis]], [[scarlet fever]], [[systemic lupus erythematosus]], [[systemic vasculitis]], [[ulcerative colitis]], [[Wegener's granulomatosis]]
+|bgcolor="Beige"| [[eosinophilic gastroenteritis|Allergic gastroenteropathy]], [[Crohn's disease]], [[Ormond's disease]], [[paroxysmal nocturnal haemoglobinuria]], [[kidney transplantation|post renal transplantation]], [[poststreptococcal glomerulonephritis]], [[Reye's syndrome]], [[rheumatoid vasculitis]], [[scarlet fever]], [[systemic lupus erythematosus]], [[systemic vasculitis]], [[ulcerative colitis]], [[Wegener's granulomatosis]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 154: / Line 154: @@
 |-bgcolor="LightSteelBlue"
 | '''Trauma'''
-|bgcolor="Beige"| [[strain|Abdominal muscle strain]], [[injury|abdominal muscle tear]], [[spinal disc herniation|disc prolapse]], [[electrical burns]], [[radiculitis]], [[rib fractures]], [[rupture spleen|traumatic splenic rupture]]
+|bgcolor="Beige"| [[strain|Abdominal muscle strain]], [[strain|abdominal muscle tear]], [[spinal disc herniation|disc prolapse]], [[electrical burns]], [[radiculitis]], [[rib fractures]], [[rupture spleen|traumatic splenic rupture]]
 |-
 |-bgcolor="LightSteelBlue"
@@ Line 175: / Line 175: @@
 *[[spasm|Abdominal muscle spasm]]
 *[[strain|Abdominal muscle strain]]
-*[[injury|Abdominal muscle tear]]
+*[[strain|Abdominal muscle tear]]
 *[[diverticulitis|Acute diverticulitis]]
 *[[Addisonian crisis]]
@@ Line 281: / Line 281: @@
 *[[biopsy|Percutaneous renal biopsy]]
 *[[gastric ulcer|Perforated gastric ulcer]]
-*[[abdominal abscess|Perinephric abscess]]
+*[[kidney abscess|Perinephric abscess]]
 *[[Peritonitis]]
 *[[Pernicious anemia]]
@@ Line 297: / Line 297: @@
 *[[Referred pain]]
 *[[Reflux nephropathy]]
-*[[abdominal abscess|Renal abscess]]
+*[[kidney abscess|Renal abscess]]
 *[[hemangiosarcoma|Renal angiosarcoma]]
 {{col-break|width=33%}}