The naval region is also referred to as periumbilical area and describes the central part of the abdomen. Pain localized in this area is referred to as pain in the naval region or periumbilical pain.
Most common diseases
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]
Appendicitis
It typically presents with periumbilical pain, which migrates to the right lower quadrant (RLQ), associated with fever, vomiting, anorexia, and malaise. [amboss.com]
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]
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]
Condition Presentation Diagnosis Management Appendicitis[14] Abdominal pain, nausea, vomiting, fever Periumbilical pain, migrates to RLQ Clinical (history & physical exam) [en.wikipedia.org]
Evaluate pain. Crampy abdominal pain, an early sign, may be centered in the periumbilical area. [nurses.com]
Small Bowel Obstruction
Condition Presentation Diagnosis Management Appendicitis[14] Abdominal pain, nausea, vomiting, fever Periumbilical pain, migrates to RLQ Clinical (history & physical exam) [en.wikipedia.org]
Evaluate pain. Crampy abdominal pain, an early sign, may be centered in the periumbilical area. [nurses.com]
Colicky, periumbilical Colicky or constant Vomiting/nausea Early-onset Large volume Bilious Late-onset Initially bilious Progresses to fecal vomiting (presence of feces in [amboss.com]
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]
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]
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]
Umbilical Sepsis
He suffered from periumbilical pain for about 1 week. The character of the pain was not cramping but persistent. [ajemjournal.com]
Constant periumbilical pain with or without foul-smelling umbilical discharge may be the initial presentation as our case. [ajemjournal.com]
In summary, omphalitis/urachal abscess may only present as abdominal pain without obvious erythematous periumbilical tissue or exudates in adults. [ajemjournal.com]
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]
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]