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
- ↑ 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.
- ↑ 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.
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