Abdominal Rigidity: Causes & Reasons

Possible Causes for Abdominal Rigidity

On examination, he had rigidity of the abdominal muscles in the epigastrium and tympanicity on percussion in the right upper quadrant. [nejm.org]

Abdominal examination revealed guarding, rigidity and tenderness in the right side of the abdomen. [jpss.eu]

The classic triad of sudden onset of abdominal pain, tachycardia and abdominal rigidity is the hallmark of PPU. [wjgnet.com]

Black Widow Spider Bite

Muscle rigidity and abdominal rigidity are classic signs of black widow envenomation. [petmd.com]

Symptoms and Types Early, marked paralysis Abdominal rigidity Severe muscle pain in the back, chest and abdomen, manifested by howling and loud vocalizations Muscle tremors [petmd.com]

Abdominal rigidity without tenderness and muscle spasms followed by paralysis are most often associated with a black widow bite. [wagwalking.com]

Perforated Viscus

Etiologies include: actute diverticulitis cancer inflammatory bowel disease ischemic bowel abdominal trauma Presentation Symptoms abdominal pain and rigidity Physical exam [medbullets.com]

[…] etc) Vomiting May be shocked due to sepsis - remember this presents differently in young and old patients Abdominal examination board rigid knees drawn up brusing, injuries [jjs.me.uk]

Some of the clinical manifestations that lead to suspect AAP are absence of bowel sounds, bilious vomiting, involuntary abdominal guarding, rebound tenderness, abdominal rigidity [scielo.org.co]

Peritonitis

Fever Sinus tachycardia Diffused abdominal rigidity or abdominal guarding Intestinal paralysis, which causes nausea, bloating, and vomiting When these peritoneal signs and [docdoc.com.sg]

[…] pain[edit] The main manifestations of peritonitis are acute abdominal pain, abdominal tenderness, abdominal guarding, rigidity, which are exacerbated by moving the peritoneum [en.wikipedia.org]

Other symptoms[edit] Diffuse abdominal rigidity ("abdominal guarding") is often present, especially in generalized peritonitis Fever Sinus tachycardia Development of ileus [en.wikipedia.org]

Acute Peritonitis

Other symptoms [ edit ] Diffuse abdominal rigidity (" abdominal guarding ") is often present, especially in generalized peritonitis Fever Sinus tachycardia Development of [en.wikipedia.org]

The dog usually walks with a stiff gait and the abdominal muscles are rigid in an attempt to guard the abdomen. [gopetsamerica.com]

Most patients demonstrate increased abdominal wall rigidity. [emedicine.medscape.com]

Biliary Peritonitis

He developed fever, jaundice, and abdominal rigidity. [surgicalcasereports.springeropen.com]

Other symptoms [ edit ] Diffuse abdominal rigidity (" abdominal guarding ") is often present, especially in generalized peritonitis Fever Sinus tachycardia Development of [en.wikipedia.org]

Abdominal examination revealed mild abdominal distension, general abdominal guarding and rigidity in the right upper quadrant. [panafrican-med-journal.com]

Perforated Peptic Ulcer

'Board-like abdominal rigidity' can develop in patients and localized or generalized peritonitis progresses.. [symptoma.com]

The classic triad of sudden onset of abdominal pain, tachycardia and abdominal rigidity is the hallmark of PPU. [wjgnet.com]

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]

Appendicitis

Particularly worrisome signs, such as abdominal rigidity or guarding, can be a sign of ruptured appendicitis, which is a surgical emergency. How is it diagnosed? [columbiasurgery.org]

Your doctor may also look for abdominal rigidity and a tendency for you to stiffen your abdominal muscles in response to pressure over the inflamed appendix (guarding). [mayoclinic.org]

Tests and procedures used to diagnose appendicitis include: Taking a medical history of signs and symptoms and examining the abdomen including abdominal rigidity and a tendency [bangkokhospital.com]

Tetanus

Furthermore, the differential diagnosis of non-immunized children with abdominal rigidity should include generalized tetanus. [ncbi.nlm.nih.gov]

A common first sign suggestive of tetanus in older children and adults is abdominal rigidity, although rigidity is sometimes confined to the region of injury. [web.archive.org]

Older children and adults may present with abdominal rigidity due to involvement of the muscles of the trunk. [conditions.health.qld.gov.au]

Large Bowel Obstruction

recent weight loss, nausea and vomiting Signs: Abdominal distension, tympanic abdomen, abdominal tenderness, abdominal rigidity, palpable rectal mass or empty rectum Risk [aci.health.nsw.gov.au]

[…] pain nausea and vomiting bloating Physical exam inspection abdominal distention motion tenderness to palpation abdominal rigidity quiet or absent bowel sounds provocative [step2.medbullets.com]

Patients who report with severe abdominal pain, rigidity, guarding, fever and signs of shock, with a medical history of constipation and distention should be treated immediately [symptoma.com]

Tetanus Neonatorum

A common first sign suggestive of tetanus in older children and adults is abdominal rigidity, although rigidity is sometimes confined to the region of injury. [cdc.gov]

He developed tetanic generalized spasms with opisthotonos, risus sardonicus and abdominal rigidity. [pedsccm.org]

Abdominal muscle rigidity. Muscular spasms (initially reflexive, then spontaneous). [patient.info]

Diverticular Abscess

[…] lower quadrant abdominal rigidity R1934Left lower quadrant abdominal rigidity R1935Periumbilic abdominal rigidity R1936Epigastric abdominal rigidity R1937Generalized abdominal [cms.gov]

Diagnosis of peritonitis includes classic abdominal symptoms (diffuse pain, guarding, rebound tenderness, rigidity, usually accompanied by “toxic” systemic signs (fever, tachycardia [cancertherapyadvisor.com]

Investigations Plain abdominal X-ray is rarely helpful because there are no specific features. [surgwiki.com]

Urinary Tract Injury

often accompanied by syncope. - Not passed urine since injury and no desire. - Suprapubic tenderness present but no dullness. - Varying degree of abdominal rigidity and [slideshare.net]

Signs of peritoneal irritation (abdominal rigidity, rebound tenderness, and voluntary guarding) may also be present because of extravasation of blood or urine into the peritoneal [medical-dictionary.thefreedictionary.com]

INJURIES TO URINARY BLADDERINJURIES TO URINARY BLADDER Intraperitoneal rupture:  Clinical features: - history of lower abdominal injury. - Sudden agonizing pain in hypogastrium [slideshare.net]

Constipation

Rigid endoscopy may be used in an urgent situation when flexible endoscopy is not available. [web.archive.org]

Colonoscopy should not be performed if perforation or acute diverticulitis or other infectious processes are suspected because of the risk of worsening intra-abdominal contamination [web.archive.org]

Intestinal Obstruction

This mass may be difficult to locate in inconsolable infants because of abdominal rigidity from muscle straining. Early on, vomiting of undigested food may occur. [elearning.sumdu.edu.ua]

[…] pain (sudden onset of localized pain), abdominal distension, rigid abdomen Clinical (history & physical exam) Imaging (abdominal X-ray or CT showing free air) Labs (complete [en.wikipedia.org]

Abdominal radiograph shows multiple peritoneal calcifications (straight arrows). Note also calcification (curved arrow) in scrotum. [ajronline.org]

Acute Pancreatitis

An abdominal examination may reveal bloating, exquisite tenderness or rigidity – stiffness due to muscular contractions in your abdominal wall. [livehealthy.chron.com]

In acute pancreatitis, the abdominal wall muscles will be rigid. When listening to the abdomen with a stethoscope, there may be very few or no intestinal sounds. [medicalnewstoday.com]

During the examination, a doctor often notes that the abdomen is tender and the abdominal wall muscles may be rigid. [merckmanuals.com]

Mesenteric Vein Thrombosis

As ischemia progresses to necrosis, peritoneal signs evolve, including involuntary guarding, rebound, and abdominal wall rigidity. [ahajournals.org]

Mesenteric Infarction

Examination  normal abdominal examination in the face of severe abdominal pain.  No signs of peritonitis.  abdominal tenderness ,guarding, rigidity.  These signs develop [slideshare.net]

They may develop abdominal wall rigidity. Bloody diarrhea and heme-positive stools are a late finding after bowel has infarcted. [cdemcurriculum.com]

Some patients will have hypoactive bowel sounds and abdominal distension. Guiaic positive stool are also seen but may also manifest as frank hematochezia. [clinicaladvisor.com]

Acute Emphysematous Cholecystitis

Patient had tachycardia with generalized guarding and rigidity on per abdominal examination. Abdominal X-ray showed presence of dilated small bowel loops. [bhj.org.in]

Cholecystitis

Rigidity upon inspiration (Murphy’s sign). Gallbladder mass upon palpation. [healthhype.com]

Medications: proton pump inhibitor Stable patient: observation Unstable patient: consultation (general surgery, gastroenterology, interventional radiology) Perforated Viscous[14] Abdominal [en.wikipedia.org]

Intussusception

A palpable abdominal mass, described as sausage-shaped, is sometimes present. [merckmanuals.com]

Perforation results in signs of peritonitis, with significant tenderness, guarding, and rigidity. Pallor, tachycardia, and diaphoresis indicate shock. [merckmanuals.com]

Hemoperitoneum

[…] pain Physical exam inspection hemorrhagic shock hypotension tachycardia motion tenderness to palpation rebound tenderness rigid abdomen tenderness with percussion Imaging [step2.medbullets.com]

Bowel injuries can be difficult to detect clinically; abdominal rigidity, pain, and decreased bowel sounds are found during the physical examination of only one-third of patients [healthjade.net]

[…] causing hemorrhagic shock large volume of blood can accumulate before patients present with any significant symptoms Presentation Symptoms common symptoms lightheadedness abdominal [step2.medbullets.com]

Perforated Diverticulitis

tenderness only in the left lower quadrant significantly increases the likelihood of acute diverticulitis (positive likelihood ratio = 10.4), as do a palpable mass and abdominal [aafp.org]

[…] distention. 9 Rebound tenderness, rigidity, and the absence of peristalsis are not accurate for diagnosis of acute diverticulitis, but may suggest peritonitis (positive likelihood [aafp.org]

Pneumonia

We analyzed the effects of delivery methods on Chlamydia trachomatis pneumonia in infants. Three hundred forty-four children hospitalized with Chlamydia trachomatis pneumonia were enrolled. They were divided into the vaginal delivery group and the cesarean delivery group. We compared and analyzed their age of[…] [ncbi.nlm.nih.gov]

Colonic Volvulus

[…] proton pump inhibitor Stable patient: observation Unstable patient: consultation ( general surgery, gastroenterology, interventional radiology ) Perforated Viscous [14] Abdominal [en.wikipedia.org]

Pleurisy

Mod Rheumatol. 2013 Sep;23(5):1013-7. doi: 10.1007/s10165-012-0727-5. Epub 2012 Aug 1. Abstract A 28-year-old rheumatoid arthritis woman treated with adalimumab was admitted with fever, cough, and right chest pain. X-ray showed right pleural effusion. By medical thoracoscopy, diffuse white nodules were observed, and[…] [ncbi.nlm.nih.gov]

Abdominal Aortic Aneurysm without Rupture

OBJECTIVES: To determine the influence of a positive family history for aneurysms on clinical success and mortality after endovascular aneurysm repair (EVAR). METHODS: From 2009 to 2011, 1262 patients with abdominal aortic aneurysms (AAA) treated by EVAR were enrolled in a prospective, industry sponsored clinical[…] [ncbi.nlm.nih.gov]

Hereditary Angioedema

Hereditary angioedema (HAE) is an episodic swelling disease associated with the deficiency or malfunction of complement 1 esterase inhibitor (C1-INH). In contrast to acquired angioedema, which is a secondary process, HAE is associated with genetic variations. Initial laboratory assessment involves testing for C1-INH[…] [arupconsult.com]

Strychnine Poisoning

One half hour following the ingestion of a possibly tainted antibiotic capsule, a 14 year-old female experienced acute onset of stiffness and weakness in her lower extremities. She subsequently survived despite the development of convulsions, severe lactic acidosis (pH 6.86), hyperthermia (Temp 40.5 degrees C) and[…] [ncbi.nlm.nih.gov]

Gastrointestinal Disorder

Digestive disease Organs of the gastrointestinal tract Specialty Gastroenterology Gastrointestinal diseases (abbrev. GI diseases or GI illnesses) refer to diseases involving the gastrointestinal tract, namely the oesophagus, stomach, small intestine, large intestine and rectum, and the accessory organs of digestion,[…] [en.wikipedia.org]