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52 Possible Causes for Abdominal Pain Radiating to the Back, Periumbilical Pain

  • Acute Pancreatitis

    PATIENT CONCERNS: 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.[] Acute pancreatitis typically presents with severe upper abdominal pain radiating through to the back and prostration.[]

  • Pancreatic Phlegmon

    pain radiating to the back.[] The pain is relieved by sitting forwards. The pain is accompanied by nausea and vomiting.[] Other signs of pancreatic cancer include weight loss, itching, and abdominal distention. Sometimes the patient feels pain with radiation to the back.[]

  • 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.[] Clinical features Periumbilical pain that is disproportionate to physical findings Nausea and vomiting Diarrhea (bloody in later stages) Gangrenous bowel: rectal bleeding[] 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[]

  • Chronic Pancreatitis

    One of the major symptoms of this disease is epigastric abdominal pain that radiates to the back, probably due to the obstruction of the pancreatic duct.[] Acute pancreatitis signs and symptoms include: Upper abdominal pain Abdominal pain that radiates to your back Abdominal pain that feels worse after eating Fever Rapid pulse[] Abdominal pain . Classically, epigastric pain radiating into the back.[]

  • Pancreatic Pseudocyst

    Signs and Symptoms Mild to severe pain in the upper abdomen Abdominal pain that radiates to the back or chest Fever Nausea Vomiting Increased heart rate Increased breathing[] When signs or symptoms of pancreatic cysts do occur, they typically include: Persistent abdominal pain, which may radiate to your back A mass you can feel in your upper abdomen[] When they do, symptoms can include abdominal pain (from pressing on organs) that may radiate to the chest and upper back, nausea and vomiting, and the presence of a growth[]

  • Acute Intermittent Porphyria

    BACKGROUND: Acute intermittent porphyria (AIP) is the most common hepatic porphyria. Its clinical presentation includes severe disabling and life-threatening neurovisceral symptoms and acute psychiatric symptoms. These symptoms result from the overproduction and accumulation of porphyrin precursors,[…][]

  • Acute Hepatic Porphyria

    Acute hepatic porphyria is a term encompassing four types of porphyria, in which the production of toxic heme precursors occurs in the liver and causes acute attacks of abdominal pain, nausea, neurological and mental changes, as well as hypertension and pain in the head and neck and/or chest. The diagnosis is[…][]

  • Acute Cholecystitis

    Patients typically complain of abdominal pain , most commonly in the right upper quadrant or epigastrium.[] 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.[] The pain may radiate to the right shoulder (referred phrenic nerve pain) or back. Pain is typically steady and severe.[]

  • Choledocholithiasis

    PATIENT CONCERNS: A 79-year-old woman was admitted to our hospital with upper abdominal pain radiating through to the back in November 2016.[] Abstract A 67-years-old male presented with periumbilical abdominal pain, fever and jaundice. His anaerobic blood culture was positive for clostridium perfringens.[] Introduction Choledocholithiasis is suspected in patients presenting with colicky upper abdominal pain that may or may not radiate to back (biliary colic).[]

  • Pancreatic Abscess

    pain radiating to the back, and either detection of highly elevated pancreatic enzymes or characteristic findings on imaging.[] The sequence is typical: periumbilical or epigastric reference of pain at onset, followed by a shift to the right lower quadrant after a few hours.[] […] onset of persistent, severe, epigastric pain often radiating to the back.[]

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