Causes of left lower quadrant abdominal pain

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

Causes of Left Lower Quadrant Abdominal Pain

Common Causes

• Adnexitis
• Aortic aneurysm
• Appendicitis
• Colitis
• Colon carcinoma
• Crohn's disease
• Diverticulitis
• Ectopic pregnancy
• Endometriosis
• Feces
• Gastritis
• Gastroenteritis
• Inflammatory bowel disease
• Inguinal hernia
• Intestinal obstruction
• Mesenteric lymphadenitis or thrombosis
• Middle pain
• Nephrolithiasis
• Ovarian cyst or torsion
• Psoas abscess
• Pyelonephritis
• Renal pain
• Salpingitis/Pelvic inflammatory disease
• Seminal vesiculitis
• Splenomegaly
• Strangulated hernia
• Volvulus

Causes of Left Upper Quadrant Abdominal pain

Life Threatening Causes

• Abdominal compartment syndrome
• Acute pancreatitis
• Heavy metal toxicity
• Eclampsia
• Hepatorenal syndrome
• Infective endocarditis
• Ischemic colitis
• Ketoacidosis
• Malignant hypertension
• Mesenteric artery ischemia
• Perforated gastric ulcer
• Peritonitis
• Post-ERCP perforation
• Pulmonary embolism
• Pulmonary infarction
• Renal abscess
• Splenic abscess
• Splenic artery embolization
• Splenic infarction
• Traumatic splenic rupture

Common Causes

• Basal pneumonia
• Empyema
• Gastritis
• Gastroduodenal ulcers
• Acute pancreatitis
• Pericarditis
• Pleuritis
• Pulmonary infarction
• Pyelonephritis
• Renal colic
• Splenic infarction
• Splenic rupture
• Splenic tumor
• Splenomegaly

Causes by Organ System

Cardiovascular	Abdominal aortic aneurysm rupture, ischemic colitis, malignant hypertension, mesenteric artery ischemia, rheumatoid vasculitis, systemic vasculitis
Chemical/Poisoning	Ethylene glycol poisoning, food poisoning, heavy metal poisoning, methanol, organophosphate poisoning
Dental	No underlying causes
Dermatologic	Scarlet fever, shingles
Drug Side Effect	Statins, steroid abuse, thrombolytic therapy, vitamin D toxicity
Ear Nose Throat	No underlying causes
Endocrine	Carcinoid, diabetic ketoacidosis
Environmental	Organophosphate poisoning
Gastroenterologic	Abdominal compartment syndrome, acute diverticulitis, chronic constipation, collagenous colitis, colon cancer, colonic lymphoma, Crohn's disease, diverticular abscess, eosinophilic gastroenteritis, familial adenomatous polyposis, fecal impaction, gastroenteritis, hepatorenal syndrome, inguinal hernia, internal hernia, intestinal pseudo-obstruction, intussusception, irritable bowel syndrome, ischemic colitis, large bowel obstruction, malignant peritoneal mesothelioma, omental cyst, pelvic abscess, perforated gastric ulcer, perianal abscess, peritonitis, porphyria, proctalgia fugax, rectal injury, rectal abscess, rectal ulcer, small bowel adhesions, small bowel obstruction, ulcerative colitis, visceral hamartoma, visceral hemangioma, volvulus, wandering spleen syndrome
Genetic	Colon atresia, familial adenomatous polyposis, porphyria, Von Hippel-Lindau disease
Hematologic	Lymphoma, porphyria
Iatrogenic	Colonic surgery, colonoscopy, hysterectomy with bilateral salpingo-oophorectomy, intra abdominal adhesions, percutaneous abdominal biopsy, peritoneal dialysis, radiation therapy, referred pain
Infectious Disease	Bacteroides, chlamydia, cystitis, gardnerella vaginalis, gastroenteritis, gonorrhea, miliary tuberculosis, mumps, pelvic inflammatory disease, peritonitis, psoas abscessseminal vesiculitis, salpingitis, septic arthritis, shingles, transient synovitis, tuboovarian abscess
Musculoskeletal/Orthopedic	Hip dislocation, polymyositis, psoas abscess, septic arthritis, transient synovitis
Neurologic
Nutritional/Metabolic
Obstetric/Gynecologic	Abortion, bacterial vaginosis, bacteroides, broad ligament neoplasms, child birth, chlamydia, corpus luteum of pregnancy, cystitis, dysmenorrhoea, eclampsia, ectopic pregnancy, endometriosis, endometritis, fallopian tubal carcinoma, gardnerella vaginalis, gestational trophoblastic disease, gonorrhea, HIV, hydatid cyst of Morgagni, infarction or torsion of uterine leiomyoma, intra-uterine device, luteoma, ovarian cancer, ovarian cyst, ovarian hyperstimulation syndrome, Ovarian metastasis, ovarian torsion, paramesonephric cysts, pelvic inflammatory disease, polycystic ovary syndrome, Reiter’s syndrome, salpingitis, theca lutein cysts, uterine fibroids, uterine torsion
Oncologic	Colon cancer, colonic lymphoma, familial adenomatous polyposis, Ovarian metastasis, ovarian cancer, tumor lysis syndrome, uterine fibroids, visceral hamartoma, visceral hemangioma, Von Hippel-Lindau disease
Ophthalmologic	No underlying causes
Overdose/Toxicity	Cocaine overdose, steroid abuse
Psychiatric	Intestinal pseudo-obstruction, irritable bowel syndrome
Pulmonary
Renal/Electrolyte	Ureteral colic, urinary outflow obstruction, Von Hippel-Lindau disease
Rheumatology/Immunology/Allergy	Allergic gastroenteropathy, Crohn's disease, food intolerance, Henoch-Schönlein purpura, rheumatoid vasculitis, scarlet fever, systemic lupus erythematosus, systemic vasculitis, ulcerative colitis
Sexual	Seminal vesiculitis, testicular torsion, torsion of epididymis
Trauma	Electrical burns, rib fractures, splenic laceration and hematoma, traumatic splenic rupture
Urologic	Bladder distension
Miscellaneous	Chronic constipation, foreign body ingestion, idiopathic, inguinal lymphadenopathy, splenosis

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

Causes in Alphabetical Order

• Abdominal compartment syndrome
• Acquired hemolytic anemia
• Acute diverticulitis
• Acute gastritis
• Acute pancreatitis
• Addisonian crisis
• Adrenal hemorrhage
• Adrenal tuberculosis
• Alcohol ingestion
• Algal toxin in shellfish
• Allergic gastroenteropathy
• Aluminum toxicity
• Amebic dysentery
• Arsenic poisoning
• Aspirin
• Atraumatic splenic rupture
• Autoimmune pancreatitis
• Babesiosis
• Bacillary dysentery
• Bannayan-Zonana syndrome
• Beta thalassemia major
• Bile reflux disease
• Botryomycosis
• Bulimia nervosa
• Cadmium toxicity
• Carbohydrate-deficient glycoprotein syndrome
• Carcinoid
• Celiac disease
• Chromium poisoning
• Chromoendoscopy
• Chronic constipation
• Chronic lymphocytic leukemia
• Chronic myeloid leukemia
• Cocaine overdose
• Colchicine toxicity
• Collagenous colitis
• Colon atresia
• Colon cancer
• Colonic lymphoma
• Contrast agents
• Copper poisoning
• Crohn's disease
• Cryoablation
• Cryoglobulinemia
• Cystic metastasis to the spleen
• Cystinuria
• Cytomegalovirus
• Dent's disease
• Denys-Drash syndrome
• Diabetic ketoacidosis
• Diclofenac
• Eclampsia
• Ecstasy overdose
• Electrical burns
• Empyema
• Endometriosis
• Eosinophilic gastroenteritis
• Essential thrombocytosis
• Ethylene glycol poisoning
• Excessive caffeine
• Exercise-induced gastrointestinal bleeding
• Familial adenomatous polyposis
• Felty's syndrome
• Fentanyl toxicity
• Fluvastatin
• Hereditary spherocytosis
• Gas following laparoscopy
• Gastric carcinoma
• Gastric surgery
• Gastric ulcer
• Gastrinoma
• Gastroenteritis
• Gaucher Disease
• Gestational trophoblastic disease

• Glomerulonephritis
• Gold
• Hairy cell leukemia
• Heavy metals
• Helicobacter pylori infection
• Hemolytic uremic syndrome
• Hepatorenal syndrome
• Hereditary angio-oedema
• Hiatus hernia
• Homocystinuria
• Hydroxyurea
• Hyperuricaemia
• Ibuprofen
• Idiopathic
• Indomethacin
• Infectious mononucleosis
• Infective endocarditis
• Inflammatory pleural effusion
• Intestinal pseudo-obstruction
• Intestinal worm infestation
• Intra abdominal adhesions
• Intussusception
• Iron poisoning
• Irritable bowel syndrome
• Ischemic colitis
• Kala-azar (visceral leishmaniasis)
• Large volume thoracentesis
• Lead poisoning
• Lymphoma
• Magnetic resonance cholangiopancreatography
• Malaria
• Malignant hypertension
• Malignant hyperthermia
• Malignant peritoneal mesothelioma
• MALT lymphoma
• Mastocytosis
• Meckel syndrome
• Mediterranean spotted fever
• Medullary cystic kidney disease
• Ménétrier's disease
• Mercury poisoning
• Mesenteric artery ischemia
• Methanol
• Methotrexate
• Metronidazole
• Miliary tuberculosis
• Milk-alkali syndrome
• Multiple endocrine neoplasia type 1
• Mumps
• Mycobacterium avium complex
• Myelofibrosis
• Naproxen
• Nasogastric tubes
• Nephrocalcinosis
• Nonsteroidal anti-inflammatory drugs (NSAIDs)
• Organophosphate poisoning
• Oxalosis
• Pancreatic tail cancer
• Pancreaticoduodenectomy (Whipple procedure)
• Pentamidine
• Peptic ulcer disease
• Percutaneous abdominal biopsy
• Perforated gastric ulcer
• Peritoneal dialysis
• Peritonitis
• Pernicious anemia
• Plasma cell leukemia
• Pneumonia
• Polycystic kidney disease with splenic cysts
• Perinephric abscess
• Polycythemia vera
• Porphyria
• Post streptococcal glomerulonephritis
• Post-ERCP perforation

• Post-traumatic cysts
• Primary hyperoxaluria
• Propylthiouracil
• Pseudocysts cystic splenosis
• Psittacosis
• Pulmonary arteriovenous malformations
• Pulmonary embolism
• Pulmonary infarction
• Purulent pericarditis
• Pyelonephritis
• Radiation therapy
• Referred pain
• Reflux nephropathy
• Renal abscess
• Renal angiosarcoma
• Renal cell carcinoma
• Renal mucormycosis
• Renal tuberculosis
• Renal tubular acidosis
• Reye's syndrome
• Rheumatoid vasculitis
• Rib fractures
• Salicylates
• Saw palmetto
• Scarlet fever
• Scleroderma
• Sézary syndrome
• Shingles
• Sickle Cell Anemia
• Silver poisoning
• Somatostatinoma
• Spicy food
• Splenic abscess
• Splenic artery aneurysm
• Splenic artery embolization
• Splenic hematoma and laceration
• Splenic hydatid cyst
• Splenic infarction
• Splenic lymphoma
• Splenomegaly
• Splenosis
• Statins
• Steroid abuse
• Stress ulcer
• Subphrenic abscess
• Systemic lupus erythematosus
• Systemic vasculitis
• Thrombolytic therapy
• Tietze's syndrome
• Toxic mushrooms
• Tramadol toxicity
• Traumatic splenic rupture
• Tropical splenomegaly syndrome
• Tuberous sclerosis
• Tubulointerstitial nephritis
• Tumor lysis syndrome
• Ulcerative colitis
• Urinary outflow obstruction
• Viral hemorrhagic fevers
• Visceral hamartoma
• Visceral hemangioma
• Vitamin D toxicity
• Volvulus
• Von Hippel-Lindau Disease
• WAGR Syndrome
• Waldenstrom macroglobulinemia
• Wandering spleen syndrome
• Wegener's granulomatosis
• Weil syndrome
• Williams Syndrome
• Wilms tumor
• Xanthogranulomatous pyelonephritis
• Yellow fever
• Zollinger-Ellison syndrome

Causes of Causes of left lower quadrant abdominal pain developed by WikiDoc.org, Copyleft 2013