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| ===Life Threatening Causes=== | | ===Life Threatening Causes=== |
| *[[Adrenal hemorrhage]] | | *[[Adrenal hemorrhage]] |
| *[[Cholecystitis natural history, complications and prognosis#Gallbladder perforation|Gallbladder rupture]] | | *[[Cholecystitis natural history, complications and prognosis#Gallbladder perforation|Gallbladder perforation]] |
| *[[Cholecystitis natural history, complications and prognosis#Gangrenous cholecystitis|Gangrenous cholecystitis]] | | *[[Cholecystitis natural history, complications and prognosis#Gangrenous cholecystitis|Gangrenous cholecystitis]] |
| *[[Ischemic colitis]] | | *[[Ischemic colitis]] |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Vendhan Ramanujam M.B.B.S [2]
Overview
Acute right upper quadrant abdominal pain usually arises from liver and biliary tree. Gallstone diseases are the most common causes and thus an emphasis is first laid on the gallstone diseases while approaching the patient.
Causes of Right Upper Quadrant Abdominal Pain
Life Threatening Causes
Common Causes
Causes by Organ System
| Cardiovascular
|
Congestive heart failure, ischemic colitis, myocarditis, veno-occlusive disease
|
| Chemical/Poisoning
|
No underlying causes
|
| Dental
|
No underlying causes
|
| Dermatologic
|
Herpes zoster, polymyositis
|
| Drug Side Effect
|
Cholecystitis , duodenal ulcer
|
| Ear Nose Throat
|
No underlying causes
|
| Endocrine
|
Addisonian crisis, adrenal hemorrhage, adrenal tuberculosis, constipation, pheochromocytoma
|
| Environmental
|
Heat stroke
|
| Gastroenterologic
|
Acute cholecystitis, acute fatty liver, acute hepatitis, acute pancreatitis, ascending cholangitis, ascending retrocecal appendicitis, atypical acute appendicitis, biliary colic, biliary dyskinesia, Budd-Chiari syndrome, cholecystitis, choledocholithiasis, colitis, congestive heart failure, constipation, Crohn's disease, diverticulosis, duodenal ulcer, dyspepsia, gallbladder perforation, gallstone disease, gallstone pancreatitis, gangrenous cholecystitis, gastroenteritis, hepatic abscess, hepatic flexure carcinoma, hepatic tumor, hepatomegaly, HIV, inflammatory hepatomegaly, irritable bowel syndrome, ischemic colitis, peptic ulcer disease, perihepatitis, seizures, sepsis, Zollinger-Ellison syndrome
|
| Genetic
|
No underlying causes
|
| Hematologic
|
Budd-Chiari syndrome, choledocholithiasis, hemoglobinopathies, sickle cell disease, veno-occlusive disease
|
| Iatrogenic
|
Partial hepatectomy
|
| Infectious Disease
|
Acute hepatitis, adrenal hemorrhage, adrenal tuberculosis, ascending cholangitis, colitis, duodenal ulcer, Fitz-Hugh-Curtis syndrome, gastroenteritis, hepatic abscess, herpes zoster, HIV, pelvic inflammatory disease, perihepatitis, pyelonephritis, sepsis, subdiaphragmatic abscess
|
| Musculoskeletal/Orthopedic
|
Abdominal wall pain, painful rib syndrome, polymyositis
|
| Neurologic
|
Seizures
|
| Nutritional/Metabolic
|
Choledocholithiasis, constipation, diabetic ketoacidosis
|
| Obstetric/Gynecologic
|
Acute fatty liver, eclampsia, HELLP syndrome, pelvic inflammatory disease, preeclampsia
|
| Oncologic
|
Hepatic flexure carcinoma, hepatic tumor, Kaposis sarcoma, malignant infiltration of liver, metastatic infiltration of right adrenal gland, pheochromocytoma, renal carcinoma, Zollinger-Ellison syndrome
|
| Ophthalmologic
|
No underlying causes
|
| Overdose/Toxicity
|
No underlying causes
|
| Psychiatric
|
No underlying causes
|
| Pulmonary
|
Empyema, pleural effusion, pleurisy, pleuritis, pneumonia, pulmonary embolism, pulmonary infarction
|
| Renal/Electrolyte
|
Glomerulonephritis, hydronephrosis, pyelonephritis, renal carcinoma, renal colic, renal cyst
|
| Rheumatology/Immunology/Allergy
|
Addisonian crisis, glomerulonephritis, polymyositis
|
| Sexual
|
No underlying causes
|
| Trauma
|
Adrenal hemorrhage, collisions, falls, solid organ laceration or perforated viscus
|
| Urologic
|
No underlying causes
|
| Miscellaneous
|
Heavy exercise
|
Causes in Alphabetical Order
References
- ↑ Haberman, D.; Castignola, M.; Martínez, A.; Paladini, H.; Toda, M.; Baldessari, EM.; Ramisch, D.; Gondolesi, G. (2011). "[Acute abdomen with right hypochondrial pain: an unusual cause]". Acta Gastroenterol Latinoam. 41 (4): 276, 357–8. PMID 22292219.
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