Causes of right flank pain: Difference between revisions
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==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. | |||
==Causes== | ==Causes== | ||
===Life Threatening Causes=== | ===Life Threatening Causes=== | ||
*[[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]] | |||
===Common Causes=== | ===Common Causes=== | ||
*[[Muscle spasm|Abdominal muscle spasm]] | |||
*[[Acute pyelonephritis]] | |||
*[[Nephrolithiasis]] | |||
*[[Polycystic kidney disease]] | |||
*[[Renal cyst]] | |||
*[[Urinary tract infection]]<ref name="Walker-">{{Cite journal | last1 = Walker | first1 = HK. | last2 = Hall | first2 = WD. | last3 = Hurst | first3 = JW. | last4 = Bueschen | first4 = AJ. | title = Flank Pain | journal = | volume = | issue = | pages = | month = | year = | doi = | PMID = 21250135 }}</ref> | |||
===Causes by Organ System=== | ===Causes by Organ System=== | ||
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|-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]], [[ | |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 | |bgcolor="Beige"| [[[coagulopathy]], [Renal papillary necrosis|Acute papillary necrosis]], [[sickle cell disease]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Iatrogenic''' | | '''Iatrogenic''' | ||
|bgcolor="Beige"| [[Penile prosthesis#Disadvantages|Infected penile prosthesis]], | |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]], | |bgcolor="Beige"| [[Nephritis|Acute nephritis]], [[acute pyelonephritis]], [[adrenal hemorrhage]], [[bilharziosis]], [[candidemia]], [[cholangitis]], [[colitis]], complications and prognosis|urosepsis]], [[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, [[Tuberculosis|urogenital tuberculosis]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Musculoskeletal/Orthopedic''' | | '''Musculoskeletal/Orthopedic''' | ||
|bgcolor="Beige"| [[Muscle spasm|Abdominal muscle spasm]], | |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]], | |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]], | |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" | ||
| '''Renal/Electrolyte''' | | '''Renal/Electrolyte''' | ||
|bgcolor="Beige"| [[Renal cortical necrosis|Acute cortical necrosis]], | |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]], complications and prognosis|urosepsis]], [[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]], [[Urinary tract infection natural history, [[Tuberculosis|urogenital tuberculosis]], [[urolithiasis]], [[Wilms' tumor]] | ||
|- | |- | ||
|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
| '''Rheumatology/Immunology/Allergy''' | | '''Rheumatology/Immunology/Allergy''' | ||
|bgcolor="Beige"| [[Nephritis|Acute nephritis]], | |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" | ||
| '''Miscellaneous''' | | '''Miscellaneous''' | ||
|bgcolor="Beige"| [[Exercise]], | |bgcolor="Beige"| [[Exercise]], [[lymphangioma]], [[multifocal fibrosclerosis]], [[retroperitoneal fibrosis]], [[retroperitoneal hematoma]], [[tuberous sclerosis]] | ||
|- | |- | ||
|} | |} | ||
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*[[Dissection (medical)|Renal artery dissection]] | *[[Dissection (medical)|Renal artery dissection]] | ||
*[[Renal cell carcinoma]] | *[[Renal cell carcinoma]] | ||
*[[Renal cyst]] | |||
*[[Renal cyst|Renal cyst infection]] | *[[Renal cyst|Renal cyst infection]] | ||
*[[Renal cyst|Renal cyst rupture or hemorrhage]] | *[[Renal cyst|Renal cyst rupture or hemorrhage]] | ||
*[[Renal ectopia|Renal dystopia]] | *[[Renal ectopia|Renal dystopia]] | ||
*[[Renal infarction]] | *[[Renal infarction]] |
Revision as of 02:30, 8 August 2013
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; 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 right ureter. But similar pain is sometimes caused by extraurinary abnormalities.
Causes
Life Threatening Causes
- Acute tubular necrosis
- Ischemic colitis
- Ovarian torsion
- Renal abscess
- Renal artery dissection
- Renal cyst rupture or hemorrhage
- Ruptured abdominal aortic aneurysm
Common Causes
- Abdominal muscle spasm
- Acute pyelonephritis
- Nephrolithiasis
- Polycystic kidney disease
- Renal cyst
- Urinary tract infection[1]