Causes of left lower quadrant abdominal pain: Difference between revisions

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==Causes of Left Lower Quadrant Abdominal Pain==
 
==Overview==
Pain in the lower left side of the abdomen is often related to the digestive tract, urinary tract, or reproductive organs.  Severe pain can be a symptom of inflammation of the bowel or bowel obstruction and in women it can result from twisting of an ovary ([[ovarian torsion]]), rupture of an [[ovarian cyst]], [[ectopic pregnancy]], or [[pelvic inflammatory disease]].  Men may experience severe left lower quadrant pain from [[testicular torsion]] or injury.  Mild to moderate pain is usually due to indigestion, inflammation or from menstrual cramps in women.
 
==Causes==
===Life Threatening Causes===
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
*[[Abdominal aortic aneurysm rupture]]
*[[Blunt trauma|Abdominal compartment syndrome]]
*[[Cocaine|Cocaine overdose]]
*[[Diabetic ketoacidosis]]
*[[Eclampsia]]
*[[Ectopic pregnancy]]
*[[Hepatorenal syndrome]]
*[[Leiomyoma|Infarction or torsion of uterine leiomyoma]]
*[[Intussusception]]
*[[Strangulation|Strangulation of hernia]]
*[[Testicular torsion]]
*[[Pelvic inflammatory disease|Tuboovarian abscess]]
*[[Complications of pregnancy|Uterine torsion]]
<font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font>
===Common Causes===
===Common Causes===
* [[Adnexitis]]
* [[Aortic aneurysm]]
* [[Aortic aneurysm]]
* [[Appendicitis]]
* [[Appendicitis]]
* [[Colitis]]
* [[Colitis]]
* [[Colon carcinoma]]
* [[Colon carcinoma]]
* [[Crohn's disease]]
* [[Diverticulitis]]
* [[Diverticulitis]]
* [[Dysmenorrhea]]
* [[Ectopic pregnancy]]
* [[Ectopic pregnancy]]
* [[Endometriosis]]
* [[Endometriosis]]
* [[Feces]]
* [[Fecal impaction]]
* [[Gastritis]]
* [[Gastroenteritis]]
* [[Gastroenteritis]]
* [[Inflammatory bowel disease]]
* [[Inflammatory bowel disease]]
* [[Inguinal hernia]]
* [[Inguinal hernia]]
* [[Intestinal obstruction]]
* [[Intestinal obstruction]]
* [[Mesenteric]] [[lymphadenitis]] or [[thrombosis]]
* [[lymphadenopathy|Mesenteric lymphadenitis]]
* [[Dysmenorrhea|Middle pain]]
* [[Mittelschmerz]]
* [[Nephrolithiasis]]
* [[Nephrolithiasis]]
* [[Ovarian cyst]] or [[torsion]]
* [[Ovarian cyst]]
* [[Psoas]] [[abscess]]
* [[Pelvic inflammatory disease]]
* [[Psoas abscess]]
* [[Pyelonephritis]]
* [[Pyelonephritis]]
* [[Renal pain]]
* [[Renal pain]]
* [[Salpingitis]]/[[Pelvic inflammatory disease]]
* [[Chlamydia infection|Seminal vesiculitis]]
* Seminal vesiculitis
* [[Splenomegaly]]
* [[Strangulated hernia]]
* [[Volvulus]]
* [[Volvulus]]
<font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font>
===Causes by Organ System===
{|style="width:80%; height:100px" border="1"
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Abdominal aortic aneurysm rupture]], [[ischemic colitis]], [[malignant hypertension]], [[acute mesenteric ischemia|mesenteric artery ischemia]], [[rheumatoid vasculitis]], [[systemic vasculitis]]
|-
|-bgcolor="LightSteelBlue"
| '''Chemical/Poisoning'''
|bgcolor="Beige"| [[Ethylene glycol poisoning]], [[food poisoning]], [[heavy metal poisoning]], [[methanol]], [[organophosphate poisoning]]
|-
|-bgcolor="LightSteelBlue"
| '''Dental'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Dermatologic'''
|bgcolor="Beige"| [[Scarlet fever]], [[shingles]]
|-
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
|bgcolor="Beige"| [[Statins]], [[steroid abuse]], [[thrombolytic therapy]], [[hypervitaminosis D|vitamin D toxicity]]
|-
|-bgcolor="LightSteelBlue"
| '''Ear Nose Throat'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Endocrine'''
|bgcolor="Beige"| [[Carcinoid]], [[diabetic ketoacidosis]]
|-
|-bgcolor="LightSteelBlue"
| '''Environmental'''
|bgcolor="Beige"| [[Organophosphate poisoning]]
|-
|-bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
|bgcolor="Beige"| [[blunt trauma|Abdominal compartment syndrome]], [[diverticulitis|acute diverticulitis]], [[chronic constipation]], [[collagenous colitis]], [[colon cancer]], [[lymphoma|colonic lymphoma]], [[Crohn's disease]], [[diverticulitis|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]], [[mesothelioma|malignant peritoneal mesothelioma]], [[Lymphadenopathy|mesentric lymphadenitis]], [[serous tumor|omental cyst]], [[pelvic abscess]], [[gastric ulcer|perforated gastric ulcer]], [[perianal abscess]], [[peritonitis]], [[porphyria]], [[proctalgia fugax]], [[Anorectal pain|rectal abscess]], [[injury|rectal injury]], [[Anorectal pain|rectal ulcer]], [[adhesions|small bowel adhesions]], [[small bowel obstruction]], [[Strangulation|strangulation of hernia]], [[ulcerative colitis]], [[hamartoma|visceral hamartoma]], [[hemangioma|visceral hemangioma]], [[volvulus]], [[Wandering spleen|wandering spleen syndrome]]
|-
|-bgcolor="LightSteelBlue"
| '''Genetic'''
|bgcolor="Beige"| [[bowel obstruction|Colon atresia]], [[familial adenomatous polyposis]], [[porphyria]], [[Von Hippel-Lindau disease]]
|-
|-bgcolor="LightSteelBlue"
| '''Hematologic'''
|bgcolor="Beige"| [[Lymphoma]], [[porphyria]]
|-
|-bgcolor="LightSteelBlue"
| '''Iatrogenic'''
|bgcolor="Beige"| [[surgery|Colonic surgery]], [[colonoscopy]], [[hysterectomy|hysterectomy with bilateral salpingo-oophorectomy]], [[surgery|intra abdominal adhesions]], [[biopsy|percutaneous abdominal biopsy]], [[peritoneal dialysis]], [[radiation therapy]], [[referred pain]]
|-
|-bgcolor="LightSteelBlue"
| '''Infectious Disease'''
|bgcolor="Beige"| [[Bacteroides]], [[chlamydia]], [[cystitis]], [[gardnerella vaginalis]], [[gastroenteritis]], [[gonorrhea]],  [[HIV]], [[miliary tuberculosis]], [[mumps]], [[pelvic inflammatory disease]], [[peritonitis]], [[psoas abscess]], [[Chlamydia infection|seminal vesiculitis]], [[salpingitis]], [[septic arthritis]], [[shingles]], [[transient synovitis]], [[Pelvic inflammatory disease|tuboovarian abscess]]
|-
|-bgcolor="LightSteelBlue"
| '''Musculoskeletal/Orthopedic'''
|bgcolor="Beige"| [[Hip dislocation]], [[polymyositis]], [[psoas abscess]], [[septic arthritis]], [[transient synovitis]]
|-
|-bgcolor="LightSteelBlue"
| '''Neurologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Nutritional/Metabolic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Obstetric/Gynecologic'''
|bgcolor="Beige"| [[Abortion]], [[bacterial vaginosis]], [[bacteroides]], [[broad ligament|broad ligament neoplasms]], [[child birth]], [[chlamydia]], [[corpus luteum|corpus luteum of pregnancy]], [[cystitis]], [[dysmenorrhoea]], [[eclampsia]], [[ectopic pregnancy]], [[endometriosis]], [[endometritis]], [[carcinoma|fallopian tubal carcinoma]], [[gardnerella vaginalis]], [[gestational trophoblastic disease]], [[gonorrhea]], [[Müllerian duct|hydatid cyst of morgagni]], [[Leiomyoma|infarction or torsion of uterine leiomyoma]], [[Intra-uterine device|intra-uterine device]], [[luteoma]], [[mittelschmerz]], [[ovarian cancer]], [[ovarian cyst]], [[ovarian hyperstimulation syndrome]], [[metastasis|ovarian metastasis]], [[ovarian torsion]], [[Müllerian duct|paramesonephric cysts]], [[pelvic inflammatory disease]], [[polycystic ovary syndrome]], [[Reiter’s syndrome]], [[salpingitis]], [[ovarian cyst|theca lutein cysts]], [[uterine fibroids]], [[Complications of pregnancy|uterine torsion]]
|-
|-bgcolor="LightSteelBlue"
| '''Oncologic'''
|bgcolor="Beige"| [[Colon cancer]], [[lymphoma|colonic lymphoma]], [[familial adenomatous polyposis]], [[metastasis|ovarian metastasis]], [[ovarian cancer]], [[tumor lysis syndrome]], [[uterine fibroids]], [[hamartoma|visceral hamartoma]], [[hemangioma|visceral hemangioma]], [[Von Hippel-Lindau disease]]
|-
|-bgcolor="LightSteelBlue"
| '''Ophthalmologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Overdose/Toxicity'''
|bgcolor="Beige"| [[cocaine|Cocaine overdose]], [[steroid abuse]]
|-
|-bgcolor="LightSteelBlue"
| '''Psychiatric'''
|bgcolor="Beige"| [[Intestinal pseudo-obstruction]], [[irritable bowel syndrome]]
|-
|-bgcolor="LightSteelBlue"
| '''Pulmonary'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Renal/Electrolyte'''
|bgcolor="Beige"|[[Kidney stone|Ureteral colic]], [[obstructive uropathy|urinary outflow obstruction]], [[Von Hippel-Lindau disease]]
|-
|-bgcolor="LightSteelBlue"
| '''Rheumatology/Immunology/Allergy'''
|bgcolor="Beige"| [[eosinophilic gastroenteritis|Allergic gastroenteropathy]], [[Crohn's disease]], [[food intolerance]], [[Henoch-Schönlein purpura]], [[rheumatoid vasculitis]], [[scarlet fever]], [[systemic lupus erythematosus]], [[systemic vasculitis]], [[ulcerative colitis]]
|-
|-bgcolor="LightSteelBlue"
| '''Sexual'''
|bgcolor="Beige"| [[Chlamydia infection|Seminal vesiculitis]], [[testicular torsion]], [[Appendix of the epididymis|torsion of epididymis]]
|-
|-bgcolor="LightSteelBlue"
| '''Trauma'''
|bgcolor="Beige"| [[Electrical burns]], [[fracture|pelvic bone fractures]]
|-
|-bgcolor="LightSteelBlue"
| '''Urologic'''
|bgcolor="Beige"| [[Bladder distension]]
|-
|-bgcolor="LightSteelBlue"
| '''Miscellaneous'''
|bgcolor="Beige"| [[Chronic constipation]], [[Bowel obstruction|foreign body ingestion]], [[idiopathic]], [[Lymphadenopathy|inguinal lymphadenopathy]], [[splenosis]]
|-
|}
<font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font>
===Causes in Alphabetical Order===
{{col-begin|width=80%}}
{{col-break|width=33%}}
*[[Abdominal aortic aneurysm rupture]]
*[[Blunt trauma|Abdominal compartment syndrome]]
*[[Abortion]]
*[[appendicitis|Acute appendicitis]]
*[[diverticulitis|Acute diverticulitis]]
*[[eosinophilic gastroenteritis|Allergic gastroenteropathy]]
*[[Bacteroides]]
*[[Bladder distension]]
*[[broad ligament|Broad ligament neoplasms]]
*[[Carcinoid]]
*[[Child birth]]
*[[Chlamydia]]
*[[Chronic constipation]]
*[[Cocaine|Cocaine overdose]]
*[[Collagenous colitis]]
*[[intestinal obstruction|Colon atresia]]
*[[Colon cancer]]
*[[lymphoma|Colonic lymphoma]]
*[[surgery|Colonic surgery]]
*[[Colonoscopy]]
*[[Corpus luteum|corpus luteum of pregnancy]]
*[[Crohn's disease]]
*[[Cystitis]]
*[[Diabetic ketoacidosis]]
*[[diverticulitis|Diverticular abscess]]
*[[Dysmenorrhoea]]
*[[Eclampsia]]
*[[Ectopic pregnancy]]
*[[Electrical burns]]
*[[Endometriosis]]
*[[Endometritis]]
*[[Eosinophilic gastroenteritis]]
*[[carcinoma|Fallopian tubal carcinoma]],
*[[Familial adenomatous polyposis]]
*[[Fecal impaction]]
*[[Gardnerella vaginalis]]
*[[Gastroenteritis]]
*[[Gestational trophoblastic disease]]
*[[Gonorrhea]]
*[[Heavy metals]]
*[[Henoch-Schönlein purpura]]
*[[Hepatorenal syndrome]]
*[[Chlamydia infection|Seminal vesiculitis]]
{{col-break|width=33%}}
*[[Hip dislocation]]
*[[Müllerian duct|Hydatid cyst of Morgagni]]
*[[hysterectomy|Hysterectomy with bilateral salpingo-oophorectomy]]
*[[Idiopathic]]
*[[Leiomyoma|Infarction or torsion of uterine leiomyoma]]
*[[Inguinal hernia]]
*[[Lymphadenopathy|Inguinal lymphadenopathy]]
*[[Internal hernia]]
*[[Intestinal pseudo-obstruction]]
*[[adhesions|Intra abdominal adhesions]]
*[[Intra-uterine device|Intra-uterine device]]
*[[Intussusception]]
*[[Irritable bowel syndrome]]
*[[Ischemic colitis]]
*[[Luteoma]]
*[[Lymphoma]]
*[[mesothelioma|Malignant peritoneal mesothelioma]]
*[[acute mesenteric ischemia|Mesenteric artery ischemia]]
*[[Lymphadenopathy|Mesentric lymphadenitis]]
*[[Miliary tuberculosis]]
*[[Milk-alkali syndrome]]
*[[Mittelschmerz]]
*[[Mumps]]
*[[Mycobacterium avium complex]]
*[[serous tumor|Omental cyst]]
*[[Organophosphate poisoning]]
*[[Ovarian cancer]]
*[[Ovarian cyst]]
*[[Ovarian hyperstimulation syndrome]]
*[[metastasis|Ovarian metastasis]]
*[[Ovarian torsion]]
*[[Müllerian duct|Paramesonephric cysts]]
*[[Pelvic abscess]]
*[[Pelvic inflammatory disease]]
*[[biopsy|Percutaneous abdominal biopsy]]
*[[gastric ulcer|Perforated gastric ulcer]]
*[[Perianal abscess]]
*[[Peritoneal dialysis]]
*[[Peritonitis]]
*[[Polycystic ovary syndrome]]
*[[Porphyria]]
*[[Post streptococcal  glomerulonephritis]]
*[[ERCP|Post-ERCP perforation]]
{{col-break|width=33%}}
*[[Proctalgia fugax]]
*[[Psoas abscess]]
*[[Radiation therapy]]
*[[Anorectal pain|Rectal abscess]]
*[[injury|Rectal injury]]
*[[Anorectal pain|Rectal ulcer]]
*[[Referred pain]]
*[[Reiter’s syndrome]]
*[[Rheumatoid vasculitis]]
*[[Rib fractures]]
*[[Salpingitis]]
*[[Salpingitis]]
*[[Scarlet fever]]
*[[Chlamydia infection|Seminal vesiculitis]]
*[[Septic arthritis]]
*[[Shingles]]
*[[adhesions|Small bowel adhesions]]
*[[Small bowel obstruction]]
*[[Splenosis]]
*[[Statins]]
*[[Steroid abuse]]
*[[Strangulation|Strangulation of hernia]]
*[[Systemic vasculitis]]
*[[Testicular torsion]]
*[[ovarian cyst|Theca lutein cysts]]
*[[Thrombolytic therapy]]
*[[Appendix of the epididymis|Torsion of epididymis]]
*[[Transient synovitis]]
*[[Pelvic inflammatory disease|Tuboovarian abscess]]
*[[Tumor lysis syndrome]]
*[[Ulcerative colitis]]
*[[obstructive uropathy|Urinary outflow obstruction]]
*[[Uterine fibroids]]
*[[Complications of pregnancy|Uterine torsion]]
*[[dengue|Viral hemorrhagic fevers]]
*[[hamartoma|Visceral hamartoma]]
*[[hemangioma|Visceral hemangioma]]
*[[hypervitaminosis D|Vitamin D toxicity]]
*[[Volvulus]]
*[[Von Hippel-Lindau Disease]]
*[[Waldenstrom macroglobulinemia]]
*[[Wandering spleen|Wandering spleen syndrome]]
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Latest revision as of 20:50, 29 July 2020



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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Mugilan Poongkunran M.B.B.S [2]

Overview

Pain in the lower left side of the abdomen is often related to the digestive tract, urinary tract, or reproductive organs. Severe pain can be a symptom of inflammation of the bowel or bowel obstruction and in women it can result from twisting of an ovary (ovarian torsion), rupture of an ovarian cyst, ectopic pregnancy, or pelvic inflammatory disease. Men may experience severe left lower quadrant pain from testicular torsion or injury. Mild to moderate pain is usually due to indigestion, inflammation or from menstrual cramps in women.

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.

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

Common Causes

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

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, mesentric lymphadenitis, omental cyst, pelvic abscess, perforated gastric ulcer, perianal abscess, peritonitis, porphyria, proctalgia fugax, rectal abscess, rectal injury, rectal ulcer, small bowel adhesions, small bowel obstruction, strangulation of hernia, 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, HIV, miliary tuberculosis, mumps, pelvic inflammatory disease, peritonitis, psoas abscess, seminal vesiculitis, salpingitis, septic arthritis, shingles, transient synovitis, tuboovarian abscess
Musculoskeletal/Orthopedic Hip dislocation, polymyositis, psoas abscess, septic arthritis, transient synovitis
Neurologic No underlying causes
Nutritional/Metabolic No underlying causes
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, hydatid cyst of morgagni, infarction or torsion of uterine leiomyoma, intra-uterine device, luteoma, mittelschmerz, 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 No underlying causes
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, pelvic bone fractures
Urologic Bladder distension
Miscellaneous Chronic constipation, foreign body ingestion, idiopathic, inguinal lymphadenopathy, splenosis

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

Causes in Alphabetical Order

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

References

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