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21 Possible Causes for Abdominal Bruit, Periumbilical Pain

  • Acute Mesenteric Ischemia

    We present the case of an 84-year-old woman who presented to our emergency department complaining of an acute worsening of pre-existing abdominal periumbilical pain, nausea[ncbi.nlm.nih.gov] bruit caused by stenosis of mesenteric vessels A patient typically presents with postprandial abdominal pain ( abdominal angina ), food aversion, and weight loss![amboss.com] Clinical presentation is classically that of acute onset of severe periumbilical pain that is out of proportion to physical exam findings, /- nausea/vomiting.[errolozdalga.com]

  • Abdominal Angina

    Location epigastric pain can come from the stomach, duodenum, or pancreas. right upper quadrant pain can come from the biliary tree or liver (cholecystitis) periumbilical[sharinginhealth.ca] An abdominal bruit may be heard in some patients. One may also find features of peripheral vascular disease with diminished pulses in the leg.[ncbi.nlm.nih.gov] The classic triad of celiac compression syndrome consists of abdominal pain, an epigastric bruit, and angiographic evidence of celiac compression.[ncbi.nlm.nih.gov]

  • Arteriosclerosis

    Mesenteric angina is characterized by epigastric or periumbilical postprandial pain and may be associated with hematemesis, hematochezia, melena, diarrhea, nutritional deficiencies[emedicine.com] […] neurologic deficits Peripheral vascular disease - Decreased peripheral pulses, peripheral arterial bruits, pallor, peripheral cyanosis, gangrene, and ulceration Abdominal[emedicine.com] […] postprandial pain—may be associated with hematemesis, hematochezia, melena, diarrhea, nutritional deficiencies, and weight loss; abdominal aortic aneurysm that is typically[emedicine.com]

  • Mesenteric Infarction

    Clinical presentation is classically that of acute onset of severe periumbilical pain that is out of proportion to physical exam findings, /- nausea/vomiting.[errolozdalga.com] bruit caused by stenosis of mesenteric vessels A patient typically presents with postprandial abdominal pain ( abdominal angina ), food aversion, and weight loss![amboss.com] Pain is the most consistent symptom, which begins with cramping, periumbilical pain due to small bowel ischemia, which evolves into tenderness to palpation with transmural[epmonthly.com]

  • Embolic Mesenteric Infarction

    Clinical presentation is classically that of acute onset of severe periumbilical pain that is out of proportion to physical exam findings, /- nausea/vomiting.[errolozdalga.com] Examination may show vague abdominal tenderness disproportionate to the severity of the pain, an abdominal bruit and signs of generalised cardiovascular disease.[patient.info] In the evening on the same day, he complained of acute and persistent periumbilical pain without abdominal distension.[e-jnc.org]

  • Hepatocellular Carcinoma

    Right upper quadrant abdominal pain. Signs Jaundice. Hepatomegaly. Ascites. Spider naevi. Peripheral oedema. Anaemia. Periumbilical collateral veins. Flapping tremor.[patient.info]

  • Median Arcuate Ligament Syndrome

    A 72-year-old male patient was admitted with a five-month history of severe, recurrent postprandial, periumbilical pain associated with alternating bowel function and fatigue[kjronline.org] […] loss, and abdominal bruit.[ncbi.nlm.nih.gov] Patients with MALS are often middle-aged females presenting with a triad of postprandial epigastric pain, weight loss and abdominal bruit.[ncbi.nlm.nih.gov]

  • Acute Superior Mesenteric Artery Insufficiency

    Clinical presentation is classically that of acute onset of severe periumbilical pain that is out of proportion to physical exam findings, /- nausea/vomiting.[errolozdalga.com] bruit caused by stenosis of mesenteric vessels A patient typically presents with postprandial abdominal pain ( abdominal angina ), food aversion, and weight loss![amboss.com] Pain is the most consistent symptom, which begins with cramping, periumbilical pain due to small bowel ischemia, which evolves into tenderness to palpation with transmural[epmonthly.com]

  • Renal Colic

    The pain of retroperitoneal fibrosis is usually located first in the lower flank and abdominal regions. Testicular and periumbilical pain develops later.[web.archive.org] A definitive diagnosis is sometimes difficult, as the classic diagnostic signs (pulsatile abdominal mass with bruit, high-output hearth failure, and acute dyspnea) are present[ncbi.nlm.nih.gov] Spontaneous aorto-caval fistula is a rare complication of abdominal aortic aneurysm.[ncbi.nlm.nih.gov]

  • Mesenteric Artery Thrombosis

    Clinical presentation is classically that of acute onset of severe periumbilical pain that is out of proportion to physical exam findings, /- nausea/vomiting.[errolozdalga.com] Examination may show vague abdominal tenderness disproportionate to the severity of the pain, an abdominal bruit and signs of generalised cardiovascular disease.[patient.info] A 62 year-old African American man presented with periumbilical abdominal pain, nausea and bilious, non-bloody vomiting for two days.[medcraveonline.com]

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