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360 Possible Causes for No Mechanical Intestinal Obstructive Lesion, Periumbilical Pain

  • Intestinal Obstruction

    Clinical features Periumbilical pain that is disproportionate to physical findings Nausea and vomiting Diarrhea (bloody in later stages) Gangrenous bowel: rectal bleeding[amboss.com] Functional bowel obstruction is characterized by signs and symptoms of a mechanical obstruction of the small or large bowel in the absence of an anatomic lesion that obstructs[aci.health.nsw.gov.au] Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[nurses.com]

  • Small Bowel Obstruction

    Evaluate pain . Crampy abdominal pain, an early sign, may be centered in the periumbilical area.[nurses.com] Small intestinal pseudo-obstruction describes a clinical syndrome characterized by manifestations of mechanical bowel obstruction in the absence of an obstructive lesion.[ncbi.nlm.nih.gov] Pain subsides as motility decreases but guarding, rebound and referred pain signal peritonitis. Fluid balance Assess intake and output and vital signs .[nurses.com]

  • Littre Hernia

    pain  Recurrent episodes of intestinal obstruction  Physical examination  May reveal palpable mass of herniated bowel loops with localized tenderness  Diagnostic studies[learningradiology.com] Review of Material A recent review of acute mechanical intestinal obstruction at this hospital indicated that 13% of the cases of incarcerated or strangulated hernia were[jamanetwork.com] […] their natural place in a cavity  Autopsy incidence  May remain clinically silent if easily reducible  Larger ones symptomatic  Vague epigastric discomfort  Colicky periumbilical[learningradiology.com]

  • Umbilical Hernia

    We report a case of a painful periumbilical mass ultimately diagnosed as an infected urachal cyst.[ncbi.nlm.nih.gov] They are often initially mistaken for more common causes of lower abdominal pain, and the diagnosis is usually made during evaluation for one of these more common conditions[ncbi.nlm.nih.gov]

    Missing: No Mechanical Intestinal Obstructive Lesion
  • Appendicitis

    Snap Shot 24-year-old presents with nausea, vomiting, constipation, and periumbilical pain that settles in the lower right quadrant.[step2.medbullets.com] 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[merck.com] The typical symptoms include periumbilical pain, vomiting and nausea followed by fever and right lower quadrant abdominal pain.[symptoma.com]

    Missing: No Mechanical Intestinal Obstructive Lesion
  • Pancreatic Abscess

    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.[atsu.edu] Pain is the principal and often the only symptom of uncomplicated appendicitis.[atsu.edu]

    Missing: No Mechanical Intestinal Obstructive Lesion
  • Acute Pancreatitis

    […] in the left upper quadrant, periumbilical region, and/or epigastrium, although in some cases acute pancreatitis may be painless.[aafp.org] Initially, the pain worsens after eating or drinking, especially fatty foods, and then typically becomes constant over time.[aafp.org] Pancreatic cancer Perforated peptic ulcer Tubo-ovarian abscess HISTORY AND PHYSICAL EXAMINATION Patients with pancreatitis commonly present with sudden onset of abdominal pain[aafp.org]

    Missing: No Mechanical Intestinal Obstructive Lesion
  • Acute Mesenteric Ischemia

    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[ncbi.nlm.nih.gov] Clinical presentation is classically that of acute onset of severe periumbilical pain that is out of proportion to physical exam findings, /- nausea/vomiting.[errolozdalga.com] His abdominal pain evolved to a periumbilical “jabbing” pain exacerbated by movement and palpation.[acgcasereports.gi.org]

    Missing: No Mechanical Intestinal Obstructive Lesion
  • 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.[errolozdalga.com] In the evening on the same day, he complained of acute and persistent periumbilical pain without abdominal distension.[e-jnc.org] His abdominal pain evolved to a periumbilical “jabbing” pain exacerbated by movement and palpation.[acgcasereports.gi.org]

    Missing: No Mechanical Intestinal Obstructive Lesion
  • Retrocecal Appendicitis

    RESULTS: Patients presented with right lower abdominal pain (49%, 16/33), right flank pain (24%, 8/33), right upper abdominal pain (18%, 6/33), and periumbilical pain (15%[ncbi.nlm.nih.gov] Thirty-six percent of the patients had the classic appendicitis scenario of periumbilical pain localizing to the right lower quadrant, accompanied by anorexia, nausea and[ncbi.nlm.nih.gov] It typically presents with periumbilical pain, which migrates to the right lower quadrant ( RLQ ), associated with fever, vomiting, anorexia, and malaise.[amboss.com]

    Missing: No Mechanical Intestinal Obstructive Lesion

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