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28 Possible Causes for Abdominal Rebound Tenderness, Retrosternal Chest Pain, 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] Severe abdominal pain may need immediate treatment. You should always see your doctor if you begin to have severe, unexplained abdominal pain.[healthline.com] Findings of abdominal pain increasing in intensity, very high fever, and rebound tenderness are suggestive of gangrene, perforation, and empyema of the gallbladder.[symptoma.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] On admission, the patient complained of severe acute abdominal pain, with physical examination findings suspicious for a perforated peptic ulcer.[ncbi.nlm.nih.gov] Generalized abdominal tenderness, rebound tenderness, board-like abdominal wall rigidity, and hypoactive bowel sounds (clinical signs of peritonitis) may be masked in older[aafp.org]

  • 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] 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] Physical examination revealed muscle guarding and rebound tenderness.[academic.oup.com]

  • Choledocholithiasis

    Abdominal exam demonstrates right upper quadrant and epigastric tenderness without guarding or rebound.[medbullets.com] 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] The patient complained of severe upper abdominal and back pain 1 year after the operation.[ncbi.nlm.nih.gov]

  • Peptic Ulcer

    Abdominal examination also shows general tenderness, rigidity, rebound tenderness and guarding.[symptoma.com] We report a case of an elderly woman who presented with severe abdominal pain and positive rebound sign, in whom abdominal sonography demonstrated indirect signs of PUP, the[ncbi.nlm.nih.gov] Generalized abdominal tenderness, rebound tenderness, board-like abdominal wall rigidity, and hypoactive bowel sounds (clinical signs of peritonitis) may be masked in older[aafp.org]

  • Esophageal Crohn Disease

    The abdomen was peritonitic (diffuse pain with abdominal guarding and rebound tenderness). Emergency hemogram showed a left shift with no leukocytosis.[revistagastroenterologiamexico.org] Food can no longer move through the person’s intestine, causing severe abdominal pain, bloating and sometimes vomiting.[betterhealth.vic.gov.au] The symptoms you may experience can include severe abdominal pain, tenderness when your belly is touched, nausea and vomiting, fever, and/or lack of bowel movements.[resources.lupus.org]

  • Pneumoperitoneum

    The tenderness was diffuse, but was most prominent in the right upper abdominal quadrant; moreover, rebound tenderness was noted.[ncbi.nlm.nih.gov] Classic Presentation The patient with a perforated viscus classically presents with sudden and severe abdominal pain.[cdemcurriculum.com] While the presence of free air in the peritoneal cavity cannot be diagnosed during a general examination, abdominal distension, intense pain, rigidity and rebound tenderness[symptoma.com]

  • Esophageal Perforation

    Abdominal examination showed extremely bloating and mild tenderness in the epigastric area with rebound tenderness.[austinpublishinggroup.com] abdominal pain.[jetem.org] Patients complain of throat or retrosternal chest pain, which is sudden onset.[explainmedicine.com]

  • Familial Pericarditis

    […] muscle rigidity, rebound tenderness associated constipation or diarrhoea may mimic symptoms and signs of appendicitis Chest pain affects 33-50% due to inflammation of the[dermnetnz.org] The severe abdominal pain in FMF may be confused with an acute abdomen due to appendicitis or other acute surgical pathologies.[clinicaladvisor.com] Pericarditis was diagnosed when patients sustained attacks of pleuritic retrosternal chest pain and had typical findings in the electrocardiogram, echocardiogram or chest[ncbi.nlm.nih.gov]

  • Traumatic Heart Rupture

    Abdominal tenderness was experienced in the left upper quadrant and epigastric region with rebound tenderness.[abdominalsurg.org] When present, symptoms of an aortic rupture may include: Severe chest pain Severe back pain Severe abdominal pain Signs of external chest injury Causes and Risk Factors The[cedars-sinai.edu] On physical examination there was abdominal tenderness in the upper abdomen with rebound tenderness.[abdominalsurg.org]