Intraperitoneal causes of abdominal pain

Abdominal pain Microchapters
Home
Patient Information
Overview
Classification
Pathophysiology
Causes Diffuse Abdominal Pain Left Upper Quadrant Left Flank Left Lower Quadrant Epigastric Quadrant Umbilical Region Pelvic Region Right Upper Quadrant Right Flank Right Lower Quadrant Intraperitoneal Extraperitoneal
Differentiating Abdominal pain from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
X Ray
CT
Other Imaging Findings
Other Diagnostic Studies
Treatment
Medical Therapy
Surgery
Primary Prevention
Secondary Prevention
Cost-Effectiveness of Therapy
Future or Investigational Therapies
Case Studies
Case #1
Abdominal pain On the Web
Most recent articles
Most cited articles
Review articles
CME Programs
Powerpoint slides
Google Images
American Roentgen Ray Society Images of Abdominal pain All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Abdominal pain
CDC on Abdominal pain
Abdominal pain in the news
Blogs on Abdominal pain
Directions to Hospitals Treating Abdominal pain
Risk calculators and risk factors for Abdominal pain

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Intraperitoneal Causes of Abdominal Pain

Inflammatory Intraperitoneal Causes of Acute Abdominal Pain

Peritoneal

• Bacterial peritonitis
  • Perforated hollow viscus
  • Primary peritonitis (Pneumococcal, streptococcal, tuberculous; spontaneous bacterial peritonitis)
• Chemical and nonbacterial peritonitis
  • Perforated peptic ulcer/biliary tree, pancreatitis, ruptured ovarian cyst, mittelschmerz

Hollow Visceral

• Appendicitis
• Cholecystitis
• Colitis (bacterial, amebic)
• Diverticulitis
• Duodenitis
• Gastritis
• Gastroenteritis
• Inflammatory bowel disease
• Meckel diverticulitis
• Peptic ulcer

Solid Visceral

• Abscess (pancreatic, hepatic, splenic, etc.)
• Hepatitis
• Pancreatitis

Mesenteric

• Epiploic appendagitis
• Lymphadenitis (bacterial, viral)

Pelvic

• Endometritis
• Pelvic inflammatory disease (salpingitis)
• Tubo-ovarian abscess

Mechanical Intraperitoneal Causes of Acute Abdominal Pain

Hollow Visceral

• Intestinal obstruction
  • Adhesions, hernias, neoplasms, volvulus
  • Intussusception, gallstone ileus, foreign bodies
  • Bezoars, parasites
• Biliary obstruction
  • Calculi, neoplasms, choledochal cyst, hemobilia

Solid Visceral

• Acute splenomegaly
• Acute hepatomegaly, (congestive heart failure, Budd-Chiari syndrome)

Mesenteric

• Omental torsion

Pelvic

• Ovarian cyst
• Torsion or degeneration of fibroid
• Ectopic pregnancy

Hemoperitoneum

• Ruptured hepatic neoplasm
• Spontaneous splenic rupture
• Ruptured mesentery
• Ruptured uterus
• Ruptured graafian follicle
• Ruptured ectopic pregnancy
• Ruptured aortic or visceral aneurysm

Ischemic

• Mesenteric thrombosis
• Hepatic infarction (toxemia, purpura)
• Splenic infarction
• Omental ischemia
• Strangulated hernia