Intraperitoneal causes of abdominal pain
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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
- Peptic ulcer
- Gastroenteritis
- Gastritis
- Duodenitis
- Inflammatory bowel disease
- Meckel diverticulitis
- Colitis (bacterial, amebic)
- Diverticulitis
Solid Visceral
- Pancreatitis
- Hepatitis
- Abscess (pancreatic, hepatic, splenic, etc.)
Mesenteric
- Lymphadenitis (bacterial, viral)
- Epiploic appendagitis
Pelvic
Mechanical Intraperitoneal Causes of Acute Abdominal Pain
Hollow Visceral
- Intestinal obstruction
- 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