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214 Possible Causes for Appendicitis, Periumbilical Pain

  • Appendicitis

    Appendicitis is an inflammation of the vermiform appendix.[] Snap Shot 24-year-old presents with nausea, vomiting, constipation, and periumbilical pain that settles in the lower right quadrant.[] Symptoms and Signs The classic acute appendicitis symptoms are Epigastric or periumbilical pain followed by brief nausea, vomiting, and anorexia After a few hours, the pain[]

  • Meckel Diverticulitis

    The question I will be asked in ER is, “Does this boy have an acute appendicitis and does he need to go to OR for surgery this evening?”[] The most common initial presentation is a periumbilical, gnawing pain that migrates within a few hours to the right iliac fossa.[] Clinically, acute Meckel diverticulitis can be mistaken for acute appendicitis or Crohn disease.[]

  • Umbilical Hernia

    We present the first imaging report of perforated appendicitis in an umbilical hernia.[] We report a case of a painful periumbilical mass ultimately diagnosed as an infected urachal cyst.[] Appendicitis within an umbilical hernia sac is a previously unreported complication for umbilical hernias.[]

  • Pylephlebitis

    Pylephlebitis as a cause of mortality in acute appendicitis receives but scant mention in recent statistics.[] He was in his usual state of health until one week prior to presentation, when he began feeling chills and ill-defined periumbilical pain.[] Although rare, portal mesenteric venous thrombosis and pylephlebitis remain potential life-threatening sequelae of ruptured appendicitis in children.[]

  • Acute Intermittent Porphyria

    AIP can be confused with other causes of acute abdominal disorders such as appendicitis with peritonitis or nephrolithiasis.[] Another aspect of the painfulness of EPP is the painful abdomen, which may manifest as generalized pain, or may imitate an appendicitis .[]

  • Acute Mesenteric Ischemia

    Acute appendicitis, ruptured abdominal aortic aneurysm, acute pancreatitis, and acute cholecystitis were used as reference diagnoses, and the age-specific incidence rates[] We present the case of an 84-year-old woman who presented to our emergency department complaining of an acute worsening of pre-existing abdominal periumbilical pain, nausea[] Clinical presentation is classically that of acute onset of severe periumbilical pain that is out of proportion to physical exam findings , /- nausea/vomiting.[]

  • Acute Pancreatitis

    Considering the degree of pain associated with the disease together with alarming physical exam findings, determining which patients have acute appendicitis, cholecystitis[] […] in the left upper quadrant, periumbilical region, and/or epigastrium, although in some cases acute pancreatitis may be painless.[] […] collections 4 points Necrosis score None 0 points 30% 2 points 30-50% 4 points 50% 6 points Differential Diagnosis Acute cholecystitis Acute coronary syndromes Aortic dissection Appendicitis[]

  • Recurrent Appendicitis

    Acute appendicitis is a well known clinical entity, but many physicians are unwilling to accept appendicitis as a chronic or recurrent illness.[] A 19-year-old man with a history of laparoscopic appendectomy for perforated appendicitis presented with a five-day history of vague periumbilical pain that had localized[] It typically presents with periumbilical pain , which migrates to the right lower quadrant ( RLQ ), associated with fever , vomiting, anorexia , and malaise .[]

  • Meckel Diverticulum

    Three of the most common causes of surgical abdominal pain in pediatric patients include appendicitis, Meckel diverticulum, and intussusception.[] ., periumbilical tenderness and intermittent crampy abdominal pain. Perforation of the inflamed diverticulum can result in peritonitis.[] III: probable appendicitis (7-8 points), and Group IV: highly probable appendicitis ( 8 points).[]

  • Acute Hepatic Porphyria

    Some of the more common misdiagnoses are appendicitis and cholecystitis; other patients are told they have a urinary tract infection, colitis, or another common condition.[] In the case of acute abdomen with fever, the suspicion of appendicitis is obvious. An appendectomy scar is thus often found amongst porphyria patients.[] Another aspect of the painfulness of EPP is the painful abdomen, which may manifest as generalized pain, or may imitate an appendicitis .[]

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