Causes of right lower quadrant abdominal pain: Difference between revisions

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==Causes of Right Lower Quadrant Abdominal Pain==
 
==Overview==
Acute right lower quadrant abdominal pain arises from the distal gastrointestinal tract and is accompanied by other symptoms like diarrhea, hematochezia and tenesmus.  With the most common cause being [[appendicitis]], pain from above abdominal and below pelvic structures may also radiate towards this quadrant.  In females, obstetric and gynecological causes must also be considered in addition to the usual causes.
 
==Causes==
===Life Threatening Causes===
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
 
*[[Acute appendicitis]]
*[[Inguinal hernia|Incarcerated inguinal hernia]]
*[[Intestinal volvulus]]
*[[Intussusception]]
*[[Ischemic colitis]]
*[[Ovarian torsion]]
*[[Septic arthritis]]
*[[Strangulation]]
*[[Testicular torsion]]
*[[Complications of pregnancy#Uterine torsion|Uterine torsion]]
<font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font>
 
===Common Causes===
===Common Causes===
* [[Adnexitis]]
*[[Acute appendicitis]]
* [[Appendicitis]]
*[[Crohn's disease]]
* Caecal [[volvulus]]
*[[Diverticulitis]]
* [[Carcinoma]]
*[[Ectopic pregnancy]]
*:* [[Colon]]
*[[Endometriosis]]
*:* [[Cecum]]
*[[Ileitis]]
* [[Crohn's disease]]
*[[Inguinal hernia]]
* [[Diverticulitis]]
*[[Intussusception]]
* [[Ectopic pregnancy]]
*[[Ovarian torsion]]
* [[Feces]]
*[[Pelvic inflammatory disease]]
* [[Endometriosis]]
*[[Kidney stone|Ureteral colic]]<ref name="Rennie-2006">{{Cite journal  | last1 = Rennie | first1 = AT. | last2 = Tytherleigh | first2 = MG. | last3 = Theodoroupolou | first3 = K. | last4 = Farouk | first4 = R. | title = A prospective audit of 300 consecutive young women with an acute presentation of right iliac fossa pain. | journal = Ann R Coll Surg Engl | volume = 88 | issue = 2 | pages = 140-3 | month = Mar | year = 2006 | doi = 10.1308/003588406X94887 | PMID = 16551402 }}</ref><ref name="Millet-2012">{{Cite journal  | last1 = Millet | first1 = I. | last2 = Alili | first2 = C. | last3 = Pages | first3 = E. | last4 = Curros Doyon | first4 = F. | last5 = Merigeaud | first5 = S. | last6 = Taourel | first6 = P. | title = Infection of the right iliac fossa. | journal = Diagn Interv Imaging | volume = 93 | issue = 6 | pages = 441-52 | month = Jun | year = 2012 | doi = 10.1016/j.diii.2012.04.026 | PMID = 22658341 }}</ref>
* [[Endometritis]]
<font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font>
* [[Hemorrhage]] or rupture of [[ovarian cyst]]
 
* Inflamed ileal diverticulum
===Causes by Organ System===
* [[Inguinal hernia]]
{|style="width:82%; height:100px" border="1"
* [[Intussusception]]
|style="height:100px"; style="width:25%" border="1" bgcolor="LightSteelBlue" | '''Cardiovascular'''
* Leaking [[aortic aneurysm]]
|style="height:100px"; style="width:75%" border="1" bgcolor="Beige" | [[Leaking aortic aneurysm]],  [[mesenteric ischemia]]
* [[Middle pain]]
|-
* [[Ovarian cyst]] or [[torsion]]
|-bgcolor="LightSteelBlue"
* [[Perforated ulcer]]
| '''Chemical/Poisoning'''
* [[Psoas]] [[abscess]]
|bgcolor="Beige"| No underlying causes
* [[Renal]] [[calculus]]
|-
* [[Renal pain]]
|-bgcolor="LightSteelBlue"
* [[Salpingitis]]/[[Pelvic inflammatory disease]]
| '''Dental'''
* Seminal vesiculitis
|bgcolor="Beige"| No underlying causes
* Terminal [[ileitis]] ([[Inflammatory bowel disease]])
|-
* Uteral [[colic]]
|-bgcolor="LightSteelBlue"
* Ureteral [[colic]]
| '''Dermatologic'''
|bgcolor="Beige"| [[Herpes zoster]]
|-
|-bgcolor="LightSteelBlue"
| '''Drug Side Effect'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Ear Nose Throat'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Endocrine'''
|bgcolor="Beige"| [[Carcinoid tumor]]
|-
|-bgcolor="LightSteelBlue"
| '''Environmental'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Gastroenterologic'''
|bgcolor="Beige"| [[Acute appendicitis]], [[adhesions]],  [[Colorectal cancer|ascending colon carcinoma]],  [[Bowel obstruction|ascending colon obstruction]],  [[Colorectal cancer|cecal carcinoma]],  [[Volvulus|cecal volvulus]],  [[colitis]],  [[Crohn's disease]],  [[Bowel obstruction|ileal obstruction]],  [[ileitis]],  [[Inguinal hernia|incarcerated inguinal hernia]],  [[inflammatory bowel disease]],  [[inguinal hernia]],  [[intestinal volvulus]],  [[intussusception]],  [[Meckel diverticulitis]],  [[mesenteric ischemia]],  [[Lymphadenopathy|mesenteric lymphadenitis]],  [[Yersinia|pseudo appendicitis]],  [[Diverticulitis|right sided diverticulitis]],  [[strangulation]],  [[terminal ileitis]],  [[typhilitis]],  [[Yersinia|Yersinia enterocolitica gastroenteritis]]
|-
|-bgcolor="LightSteelBlue"
| '''Genetic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Hematologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Iatrogenic'''
|bgcolor="Beige"| [[Adhesions]]
|-
|-bgcolor="LightSteelBlue"
| '''Infectious Disease'''
|bgcolor="Beige"| [[Adnexitis]], [[colitis]],  [[cystitis]],  [[endometritis]],  [[herpes zoster]],  [[ileitis]],  [[lymphogranuloma venereum]],  [[pelvic inflammatory disease]],  [[psoas abscess]],  [[salpingitis]],  [[Chlamydia infection|seminal vesiculitis]],  [[septic arthritis]],  [[terminal ileitis]],  [[transient synovitis]],  [[Pelvic inflammatory disease|tuboovarian abscess]],  [[typhilitis]],  [[Yersinia|Yersinia enterocolitica gastroenteritis]]
|-
|-bgcolor="LightSteelBlue"
| '''Musculoskeletal/Orthopedic'''
|bgcolor="Beige"| [[Hip dislocation]], [[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"| [[Ectopic pregnancy]], [[Uterine sarcoma|endometrial stromal sarcoma]],  [[endometrioma]],  [[endometriosis]],  [[endometritis]],  [[Ovarian torsion|fallopian tube torsion]],  [[Ovarian cyst|hemorrhagic ovarian cyst]],  [[hydrosalpinx]],  [[Ovarian cyst|infarction or torsion of ovarian cyst]],  [[Leiomyoma|infarction or torsion of uterine leiomyoma]],  [[Mixed Mullerian tumor|malignant mixed Mullerian tumor]],  [[ovarian hyperstimulation syndrome]],  [[Ovarian cancer|ovarian neoplasm]],  [[pelvic inflammatory disease]],  [[Ectopic pregnancy|rupture of ectopic pregnancy]],  [[Ovarian cyst|ruptured ovarian cyst]],  [[salpingitis]],  [[Pelvic inflammatory disease|tuboovarian abscess]],  [[Complications of pregnancy|uterine torsion]]
|-
|-bgcolor="LightSteelBlue"
| '''Oncologic'''
|bgcolor="Beige"| [[Colorectal cancer|Ascending colon carcinoma]], [[carcinoid tumor]],  [[Colorectal cancer|cecal carcinoma]],  [[Uterine sarcoma|endometrial stromal sarcoma]],  [[endometrioma]],  [[Leiomyoma|infarction or torsion of uterine leiomyoma]],  [[Mixed Mullerian tumor|malignant mixed Mullerian tumor]],  [[Ovarian cancer|ovarian neoplasm]]
|-
|-bgcolor="LightSteelBlue"
| '''Ophthalmologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Overdose/Toxicity'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Psychiatric'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Pulmonary'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Renal/Electrolyte'''
|bgcolor="Beige"| [[Cystitis]], [[Henoch-Schönlein purpura]],  [[renal colic]],  [[Kidney stone|ureteral colic]],  [[Kidney stone|ureterolithiasis]],  [[Kidney stone|urolithiasis]]
|-
|-bgcolor="LightSteelBlue"
| '''Rheumatology/Immunology/Allergy'''
|bgcolor="Beige"| [[Colitis]],  [[Crohn's disease]],  [[Henoch-Schönlein purpura]],  [[inflammatory bowel disease]]
|-
|-bgcolor="LightSteelBlue"
| '''Sexual'''
|bgcolor="Beige"| [[Chlamydia infection|Seminal vesiculitis]],  [[testicular torsion]],  [[Appendix of the epididymis|torsion of epididymis]]
|-
|-bgcolor="LightSteelBlue"
| '''Trauma'''
|bgcolor="Beige"| [[Abdominal trauma|Collision]],  [[Abdominal trauma|falls]],  [[Abdominal trauma|visceral laceration or rupture]]
|-
|-bgcolor="LightSteelBlue"
| '''Urologic'''
|bgcolor="Beige"| No underlying causes
|-
|-bgcolor="LightSteelBlue"
| '''Miscellaneous'''
|bgcolor="Beige"| [[Colonic pseudoobstruction]],  [[Bowel obstruction|foreign body ingestion]],  [[Lymphadenopathy|inguinal lymphadenopathy]]
|-
|}
<font color="white">{{Smallcaps|{{PAGENAME}} developed by WikiDoc.org}}</font>
 
===Causes in Alphabetical Order===
{{col-begin|width=80%}}
{{col-break|width=33%}}
*[[Acute appendicitis]]
*[[Adhesions]]
*[[Adnexitis]]
*[[Colorectal cancer|Ascending colon carcinoma]]
*[[Bowel obstruction|Ascending colon obstruction]]
*[[Carcinoid tumor]]
*[[Colorectal cancer|Cecal carcinoma]]
*[[Volvulus|Cecal volvulus]]
*[[Colitis]]
*[[Abdominal trauma|Collision]]
*[[Colonic pseudoobstruction]]
*[[Crohn's disease]]
*[[Cystitis]]
*[[Ectopic pregnancy]]
*[[Uterine sarcoma|Endometrial stromal sarcoma]]
*[[Endometrioma]]
*[[Endometriosis]]
*[[Endometritis]]
*[[Ovarian torsion|Fallopian tube torsion]]
*[[Abdominal trauma|Falls]]
*[[Bowel obstruction|Foreign body ingestion]]
*[[Ovarian cyst|Hemorrhagic ovarian cyst]]
*[[Henoch-Schönlein purpura]]
{{col-break|width=33%}}
 
*[[Herpes zoster]]
*[[Hip dislocation]]
*[[Hydrosalpinx]]
*[[Bowel obstruction|Ileal obstruction]]
*[[Ileitis]]
*[[Inguinal hernia|Incarcerated inguinal hernia]]
*[[Ovarian cyst|Infarction or torsion of ovarian cyst]]
*[[Leiomyoma|Infarction or torsion of uterine leiomyoma]]
*[[Inflammatory bowel disease]]
*[[Inguinal hernia]]
*[[Lymphadenopathy|Inguinal lymphadenopathy]]
*[[Intestinal volvulus]]
*[[Intussusception]]
*[[Ischemic colitis]]
*[[Leaking aortic aneurysm]]
*[[Lymphogranuloma venereum]]
*[[Mixed Mullerian tumor|Malignant mixed Mullerian tumor]]
*[[Meckel diverticulitis]]
*[[Mesenteric ischemia]]
*[[Lymphadenopathy|Mesenteric lymphadenitis]]
*[[Mittelschmerz]]
*[[Ovarian hyperstimulation syndrome]]
*[[Ovarian cancer|Ovarian neoplasm]]
{{col-break|width=33%}}
 
*[[Pelvic inflammatory disease]]
*[[Yersinia|Pseudo appendicitis]]
*[[Psoas abscess]]
*[[Renal colic]]
*[[Diverticulitis|Right sided diverticulitis]]
*[[Ectopic pregnancy|Rupture of ectopic pregnancy]]
*[[Ovarian cyst|Ruptured ovarian cyst]]
*[[Salpingitis]]
*[[Chlamydia infection|Seminal vesiculitis]]
*[[Septic arthritis]]
*[[Strangulation]]
*[[Terminal ileitis]]
*[[Testicular torsion]]
*[[Appendix of the epididymis|Torsion of epididymis]]
*[[Transient synovitis]]
*[[Pelvic inflammatory disease|Tuboovarian abscess]]
*[[Typhilitis]]
*[[Kidney stone|Ureteral colic]]
*[[Kidney stone|Ureterolithiasis]]
*[[Kidney stone|Urolithiasis]]
*[[Complications of pregnancy|Uterine torsion]]
*[[Abdominal trauma|Visceral laceration or rupture]]
*[[Yersinia|Yersinia enterocolitica gastroenteritis]]
{{col-end}}


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
{{Gastroenterology}}
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Vendhan Ramanujam M.B.B.S [2]

Overview

Acute right lower quadrant abdominal pain arises from the distal gastrointestinal tract and is accompanied by other symptoms like diarrhea, hematochezia and tenesmus. With the most common cause being appendicitis, pain from above abdominal and below pelvic structures may also radiate towards this quadrant. In females, obstetric and gynecological causes must also be considered in addition to the usual causes.

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 right lower quadrant abdominal pain developed by WikiDoc.org

Common Causes

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

Causes by Organ System

Cardiovascular Leaking aortic aneurysm, mesenteric ischemia
Chemical/Poisoning No underlying causes
Dental No underlying causes
Dermatologic Herpes zoster
Drug Side Effect No underlying causes
Ear Nose Throat No underlying causes
Endocrine Carcinoid tumor
Environmental No underlying causes
Gastroenterologic Acute appendicitis, adhesions, ascending colon carcinoma, ascending colon obstruction, cecal carcinoma, cecal volvulus, colitis, Crohn's disease, ileal obstruction, ileitis, incarcerated inguinal hernia, inflammatory bowel disease, inguinal hernia, intestinal volvulus, intussusception, Meckel diverticulitis, mesenteric ischemia, mesenteric lymphadenitis, pseudo appendicitis, right sided diverticulitis, strangulation, terminal ileitis, typhilitis, Yersinia enterocolitica gastroenteritis
Genetic No underlying causes
Hematologic No underlying causes
Iatrogenic Adhesions
Infectious Disease Adnexitis, colitis, cystitis, endometritis, herpes zoster, ileitis, lymphogranuloma venereum, pelvic inflammatory disease, psoas abscess, salpingitis, seminal vesiculitis, septic arthritis, terminal ileitis, transient synovitis, tuboovarian abscess, typhilitis, Yersinia enterocolitica gastroenteritis
Musculoskeletal/Orthopedic Hip dislocation, psoas abscess, septic arthritis, transient synovitis
Neurologic No underlying causes
Nutritional/Metabolic No underlying causes
Obstetric/Gynecologic Ectopic pregnancy, endometrial stromal sarcoma, endometrioma, endometriosis, endometritis, fallopian tube torsion, hemorrhagic ovarian cyst, hydrosalpinx, infarction or torsion of ovarian cyst, infarction or torsion of uterine leiomyoma, malignant mixed Mullerian tumor, ovarian hyperstimulation syndrome, ovarian neoplasm, pelvic inflammatory disease, rupture of ectopic pregnancy, ruptured ovarian cyst, salpingitis, tuboovarian abscess, uterine torsion
Oncologic Ascending colon carcinoma, carcinoid tumor, cecal carcinoma, endometrial stromal sarcoma, endometrioma, infarction or torsion of uterine leiomyoma, malignant mixed Mullerian tumor, ovarian neoplasm
Ophthalmologic No underlying causes
Overdose/Toxicity No underlying causes
Psychiatric No underlying causes
Pulmonary No underlying causes
Renal/Electrolyte Cystitis, Henoch-Schönlein purpura, renal colic, ureteral colic, ureterolithiasis, urolithiasis
Rheumatology/Immunology/Allergy Colitis, Crohn's disease, Henoch-Schönlein purpura, inflammatory bowel disease
Sexual Seminal vesiculitis, testicular torsion, torsion of epididymis
Trauma Collision, falls, visceral laceration or rupture
Urologic No underlying causes
Miscellaneous Colonic pseudoobstruction, foreign body ingestion, inguinal lymphadenopathy

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

Causes in Alphabetical Order

References

  1. ↑ Rennie, AT.; Tytherleigh, MG.; Theodoroupolou, K.; Farouk, R. (2006). "A prospective audit of 300 consecutive young women with an acute presentation of right iliac fossa pain". Ann R Coll Surg Engl. 88 (2): 140–3. doi:10.1308/003588406X94887. PMID 16551402. Unknown parameter |month= ignored (help)
  2. ↑ Millet, I.; Alili, C.; Pages, E.; Curros Doyon, F.; Merigeaud, S.; Taourel, P. (2012). "Infection of the right iliac fossa". Diagn Interv Imaging. 93 (6): 441–52. doi:10.1016/j.diii.2012.04.026. PMID 22658341. Unknown parameter |month= ignored (help)

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