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157 Possible Causes for Leukocytosis, Periumbilical Pain

  • Appendicitis

    Snap Shot 24-year-old presents with nausea, vomiting, constipation, and periumbilical pain that settles in the lower right quadrant.[] Blood test results revealed leukocytosis.[] On admission, the patient was in septic shock with leukocytosis and elevation of C-reactive protein. Among other diagnoses, necrotizing fasciitis was suspected.[]

  • Acute Pancreatitis

    […] in the left upper quadrant, periumbilical region, and/or epigastrium, although in some cases acute pancreatitis may be painless.[] […] order – lipase offers improved sensitivity ( Choosing Wisely: Twenty Things Physicians and Patients Should Question , American Society for Clinical Pathology, 2016) CBC – leukocytosis[] Imaging is indicated during the initial presentation if: the diagnosis of acute pancreatitis is uncertain there is abdominal distension and tenderness, fever 102, or leukocytosis[]

  • 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.[] Laboratory studies of value include evidence of hemoconcentration and leukocytosis. Roentgenographic findings are equally nonspecific unless late in the course.[] Clinical features Periumbilical pain that is disproportionate to physical findings Nausea and vomiting Diarrhea (bloody in later stages) Gangrenous bowel: rectal bleeding[]

  • Embolic 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.[] Laboratory values are notable for a leukocytosis and a lactic acid of 6.8 mmol/L. An ECG is shown in Figure A. What is the next best step in diagnosis?[] In the evening on the same day, he complained of acute and persistent periumbilical pain without abdominal distension.[]

  • Small Bowel Obstruction

    Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[] CONCLUSION: The combination of two or more clinical parameters, including intractable continuous abdominal pain, tachycardia, leukocytosis, and abdominal distention with the[] The abdominal tube drained a small amount of serous fluid, while blood tests revealed a mild leukocytosis and a slight decrease of the hemoglobin.[]

  • Acute Hepatic Porphyria

    Because the pain is neuropathic, it often is not accompanied by fever or leukocytosis.[] Fever and leukocytosis are not present in the absence of an accompanying infectious process. Mild elevation of the transaminases is common.[] Pain is rarely accompanied by fever, leukocytosis, or peritonitis.[]

  • Acute Intermittent Porphyria

    The analysis of hematological and biochemical parameters during the second crisis showed anemia, leukocytosis, hyponatremia, mild hypokalemia, uremia and elevated C-reactive[] Clinical findings Abdominal colic, constipation, fever, leukocytosis, postural hypotension, peripheral neuritis, polyneuropathy, paraplegia, urinary retention, respiratory[] […] condition caused by a deficiency of porphobilinogen deaminase, resulting in overproduction of δ-aminolevulinic acid Clinical Recurrent abdominal colic, constipation, fever, leukocytosis[]

  • Mesenteric Vein Thrombosis

    Laboratory workup, although very important for the assessment of the overall status of the patient, is of limited diagnostic benefit in the case of MVT, as only leukocytosis[] A 76-year-old Caucasian man presented with acute onset of intense periumbilical abdominal pain associated with nonbloody diarrhea.[] Routine laboratory values showed mild leukocytosis (leukocyte count 13.6 [normal 4.5–11.0] 10 9 /L) and were otherwise within normal limits.[]

  • Meckel Diverticulitis

    The most common initial presentation is a periumbilical, gnawing pain that migrates within a few hours to the right iliac fossa.[] […] tachypnea and his labs were significant for lactic acidosis of 2.3 mmol/L, hypokalemic hypochloremic metabolic acidosis (consistent with history of vomiting), as well as a leukocytosis[] In this young male patient with right lower quadrant abdominal pain and leukocytosis, CT revealed both a normal appendix filled with oral contrast material and an elongated[]

  • Hemoperitoneum

    Kondoh E, Shimizu M, Kakui K, Mikami Y, Tatsumi K, Konishi I: Deciduosis can cause remarkable leukocytosis and obscure abdominal pain.[]

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