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121 Possible Causes for Abdominal Pain Radiating to the Back, Abdominal Rebound Tenderness, Severe Abdominal Pain

  • Acute Cholecystitis

    Increasing abdominal pain, high fever, and rigors with rebound tenderness or ileus suggest empyema (pus) in the gallbladder, gangrene, or perforation.[merckmanuals.com] […] that radiates to the mid back or right scapular tip.[ncbi.nlm.nih.gov] Severe abdominal pain may need immediate treatment. You should always see your doctor if you begin to have severe, unexplained abdominal pain.[healthline.com]

  • Duodenal Ulcer Perforation

    A 54-year-old man visited our emergency department with severe upper abdominal pain. Physical examination revealed muscle guarding and rebound tenderness.[academic.oup.com] radiating to the back suggests penetration; and severe, spreading upper abdominal pain suggests perforation.[aafp.org] On admission, the patient complained of severe acute abdominal pain, with physical examination findings suspicious for a perforated peptic ulcer.[ncbi.nlm.nih.gov]

  • Perforated Peptic Ulcer

    A 54-year-old man visited our emergency department with severe upper abdominal pain. Physical examination revealed muscle guarding and rebound tenderness.[qjmed.oxfordjournals.org] radiating to the back suggests penetration; and severe, spreading upper abdominal pain suggests perforation.[aafp.org] Severe abdominal pain in an ill-appearing child with a rigid abdomen and possibly with signs of shock is the typical presenting feature of this life-threatening complication[ncbi.nlm.nih.gov]

  • Perforated Viscus

    On physical examination, diffuse abdominal pain with rebounding tenderness was noted.[ncbi.nlm.nih.gov] pain in the right hypochondrium, which radiated to the lower back on the same side.[scielo.org.co] An 80-year-old woman with hypertension presents to the emergency department with the sudden onset of severe abdominal pain.[mhmedical.com]

  • Acute Pancreatitis

    tenderness without guarding or rebound diminished bowel sounds from a localized ileus Hemorrhagic pancreatitis indicated by Jaundice is rare Evaluation Treatment Acute management[medbullets.com] A 32-year-old male presented to our hospital with chief complaints of sharp and persistent left upper quadrant abdominal pain radiating to the back.[ncbi.nlm.nih.gov] However, he complained of severe abdominal pain and was drowsy 2 h later.[ncbi.nlm.nih.gov]

  • Choledocholithiasis

    Abdominal exam demonstrates right upper quadrant and epigastric tenderness without guarding or rebound.[medbullets.com] A 79-year-old woman was admitted to our hospital with upper abdominal pain radiating through to the back in November 2016.[ncbi.nlm.nih.gov] A 7-year-old girl was referred to our hospital for severe abdominal pain and elevated serum levels of amylase and aminotransferase.[ncbi.nlm.nih.gov]

  • Mesenteric Infarction

    Abdominal examination showed mild abdominal tenderness without rebound tenderness.[kjim.org] Snap Shot A 70-year-old male with atrial fibrillation presents to the emergency department with sudden onset of severe abdominal pain despite relatively benign findings on[medbullets.com] Symptoms of acute mesenteric ischemia include: Nausea Sudden, severe abdominal pain Vomiting Diarrhea Chronic mesenteric ischemia results from slowly progressive blockages[wexnermedical.osu.edu]

  • Pancreatitis

    The epigastrum is typically tender to palpation, but there is no guarding or rebound unless perforation has occurred.[clinicaladvisor.com] Cardinal symptom is usually steady, sudden-onset abdominal pain radiating to the back. Associated with nausea and vomiting.[bestpractice.bmj.com] One patient died from severe sepsis. Adverse events included severe abdominal pain and productive cutaneous fistulae (two patients).[ncbi.nlm.nih.gov]

  • Penetrating Duodenal or Gastric Ulcer

    Palpation of the abdomen is painful, rebound tenderness is prominent, abdominal muscles are rigid (boardlike), and bowel sounds are diminished or absent.[merckmanuals.com] pain, peritonism and shock 2 pain may radiate to the right shoulder and back 2 pain may prominently be in the right iliac fossa ( Valentino syndrome ) 5 gastric outlet obstruction[radiopaedia.org] […] develops severe abdominal pain worse with eating.[medbullets.com]

  • Diverticular Abscess

    tenderness R10822Left upper quadrant rebound abdominal tenderness R10823Right lower quadrant rebound abdominal tenderness R10824Left lower quadrant rebound abdominal tenderness[cms.gov] The abdominal pain of diverticulitis is usually lower and/or left-sided abdominal pain. The pain is usually sharp and constant.[fascrs.org] abdominal pain that may localise to the left iliac fossa.[dundeemedstudentnotes.wordpress.com]