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30 Possible Causes for Abdominal Pain Radiating to the Back, Leukocytes Increased, Periumbilical Pain

  • Acute Pancreatitis

    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.[] […] in the left upper quadrant, periumbilical region, and/or epigastrium, although in some cases acute pancreatitis may be painless.[] The expression levels of IL-6 and TNF-α mRNAs and proteins were significantly increased in leukocytes from AEP and ANP rats, compared with the levels in the control animals[]

  • Mesenteric Infarction

    The most common is the 10—30 minutes postprandial occurring dull abdominal pain. It is periumbilically localized and lasts for one to four hours.[] Laboratory tests showed an increased leukocyte count of 12000 /µL with left shift (Neut: 87%).[] Laboratory findings are nonspecific: These include metabolic acidosis with elevated anion gap, increased lactate levels, and elevated leukocyte counts.[]

  • Acute Hepatic Porphyria

    Gut. 1994 Aug;35(8):1112-5. Author information 1 University Department of Medicine and Therapeutics, Western Infirmary, Glasgow. Abstract Patients with acute hepatic porphyria are denied essential operations because of concern that general anaesthesia and surgery will precipitate a life threatening porphyric crisis.[…][]

  • Acute Intermittent Porphyria

    Neuroporphyrias, a heterogeneous group of metabolic diseases, are diagnosed less often than their true prevalence justifies. Lack of awareness of porphyrias and their protean clinical and biochemical manifestations, is the most significant hurdle to their recognition and diagnosis. These points are reflected in the[…][]

  • Meckel Diverticulitis

    pain radiating to his lower back that was associated with nausea and vomiting.[] The most common initial presentation is a periumbilical, gnawing pain that migrates within a few hours to the right iliac fossa.[] ., periumbilical tenderness and intermittent crampy abdominal pain. Perforation of the inflamed diverticulum can result in peritonitis.[]

  • Hemoperitoneum

    The pain also radiated to the back and both shoulder tips, an evidence of irritation of the diaphragm.[] The pain was like trapped wind and radiated to the back. She reported several episodes of mild self-limiting pain over the previous month.[] She had developed generalised severe colicky abdominal pain which started from the lower abdomen and soon became generalised.[]

  • Choledocholithiasis

    A 79-year-old woman was admitted to our hospital with upper abdominal pain radiating through to the back in November 2016.[] A 67-years-old male presented with periumbilical abdominal pain, fever and jaundice. His anaerobic blood culture was positive for clostridium perfringens.[] View larger version (157K) Fig. 1 — 82-year-old woman with periumbilical pain and weight loss.[]

  • Acute Cholecystitis

    […] that radiates to the mid back or right scapular tip.[] 64 yo female presents to the emergency department with periumbilical pain that was first noted yesterday after a meal. The pain subsequently moved to the RLQ.[] Patients typically complain of abdominal pain , most commonly in the right upper quadrant or epigastrium.[]

  • Pancreatic Phlegmon

    pain radiating to the back.[] Sx of pancreatitis: Epigastric or periumbilical pain, often radiates to the back as well as to the cheest, flanks, & lower abd.[] […] to the left and the increased ESR are characteristic.[]

  • Abdominal Visceral Abscess

    radiates to the back.[] Distal duodenum diseases induce pain in the periumbilical region 1.[] An elevated blood leukocyte count in excess of 12,000 with a predominance of polymorphonuclear forms is often present.[]

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