Periumbilical Pain: Causes & Reasons

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Possible Causes for Periumbilical Pain

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]

Mesenteric Infarction

The most common is the 10—30 minutes postprandial occurring dull abdominal pain. It is periumbilically localized and lasts for one to four hours. [lecturio.com]

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]

Clinical features Periumbilical pain that is disproportionate to physical findings Nausea and vomiting Diarrhea (bloody in later stages) Gangrenous bowel: rectal bleeding [amboss.com]

Ventral Hernia

Ventral hernia is uncommon during pregnancy and is extremely rare in postpartum women. It leads to a life-threatening emergency. A 33-year-old woman, gravida 2 para 1, was admitted to our institute with severe abdominal pain and overdistended abdomen immediately after a full-term vaginal delivery. She had a normal[…] [ncbi.nlm.nih.gov]

Mesenteric Vein Thrombosis

A 76-year-old Caucasian man presented with acute onset of intense periumbilical abdominal pain associated with nonbloody diarrhea. [accesssurgery.mhmedical.com]

[…] and lower abdominal pain for 1 week. [mdedge.com]

[…] patients with MVT. 1 Peritoneal signs and bloody stools portend poor outcomes, as they often occur with disease progression. 4 Case A 26-year-old man presented to the ED with periumbilical [mdedge.com]

Epigastric Hernia

Epigastric hernia Abdominal ultrasound of a midline epigastric hernia. Specialty General surgery An epigastric hernia is a type of hernia that causes fat to push through a weakened area in the walls of the abdomen. It may develop in the epigastrium (upper, central part of the abdomen). Epigastric hernias are more[…] [en.wikipedia.org]

Omphalitis

A significant decrease in periumbilical pain, elimination of the disturbing chronic discharge, and vaporization of the reactive granulation tissue were achieved, suggesting [ncbi.nlm.nih.gov]

Chronic Pancreatitis

Pancreaticopericardial fistula (PPF) is an extremely rare clinical problem encountered in patients with chronic pancreatitis. The diagnosis should be suspected if a patient presents with pericardial effusion on a background of chronic pancreatitis. Significantly raised amylase in the pericardial fluid offers an[…] [ncbi.nlm.nih.gov]

Abdominal Angina

Location epigastric pain can come from the stomach, duodenum, or pancreas. right upper quadrant pain can come from the biliary tree or liver (cholecystitis) periumbilical [sharinginhealth.ca]

Although evidence of arteriosclerosis elsewhere and a short early systolic bruit may be audible in the periumbilical region, it is frequently absent. [omicsonline.org]

pain can come from the small intestine, appendix, or colon. sacral pain can come from the rectum. hypogastric pain can come from the colon, bladder, or uterus. [sharinginhealth.ca]

Viral Gastroenteritis

BACKGROUND: Viral gastroenteritis is common, especially in young children. In adults, particularly amongst the elderly, it can lead to outbreaks at a time when demands on clinical services are at their peak. AIM: To evaluate seasonal screening of young children and elderly patients with suspected viral gastroenteritis[…] [ncbi.nlm.nih.gov]

Pancreatic Phlegmon

Sx of pancreatitis: Epigastric or periumbilical pain, often radiates to the back as well as to the cheest, flanks, & lower abd. [enotes.tripod.com]

The pain is relieved by sitting forwards. The pain is accompanied by nausea and vomiting. [histocutup.co.uk]

The clinical presentation of acute pancreatitis is usually left upper-quadrant pain or midepigastric pain with radiation to the back. [dummies.com]

Intestinal Perforation

Several recent reports have suggested that, in select premature neonates, intestinal perforation may be managed by peritoneal drainage alone. Much like a surgical Graham patch, the omentum may seal an intestinal perforation allowing healing while maintaining bowel continuity. This photograph, illustrating a classic case[…] [ncbi.nlm.nih.gov]

Pancreatic Pseudocyst

OBJECTIVE: Delayed gastric emptying (DGE) in patients with acute pancreatitis (AP) can be caused by gastroparesis or gastric outlet obstruction, which may occur when pancreatic pseudocyst (PP) or walled-off necrosis (WON) compresses the stomach. The aim of the study was to explore a proper surgical treatment.[…] [ncbi.nlm.nih.gov]

Meckel Diverticulitis

The most common initial presentation is a periumbilical, gnawing pain that migrates within a few hours to the right iliac fossa. [surgwiki.com]

periumbilical tenderness and intermittent crampy abdominal pain. Perforation of the inflamed diverticulum can result in peritonitis. [en.wikipedia.org]

[…] acute abdominal pain Can result in perforation Enteroliths ( 10%) Neoplasia ( 3%) Most often carcinoid (M F) Imaging Findings Abdominal Film, non-specific: Enteroliths, small [learningradiology.com]

Delta Aminolevulinate Dehydrase Deficiency

Alnylam presented results from their phase 3 ENVISION trial, which assessed givosiran for acute hepatic porphyria (AHP), at the European Association for the Study of the Liver (EASL) International Liver Congress in Vienna, Austria. ENVISION was a randomized, double-blind, placebo-controlled, global, multicenter study[…] [trialsitenews.com]

Meckel Diverticulum

Localised periumbilical pain may be experienced in the right lower quadrant (like appendicitis). [en.wikipedia.org]

Keller, M.D. 1 Citing Article A 10-year-old boy presented to the emergency department with increasing periumbilical and epigastric pain after a 3-week period of intermittent [nejm.org]

Diverticulitis Symptoms include diarrhoea, abdominal cramps and periumbilical tenderness. [patient.info]

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]

[…] 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]

Acute Intermittent Porphyria

To study the existence of different mutations in acute intermittent porphyria, erythrocyte porphobilinogen deaminase activity and enzyme protein concentration were investigated in 125 porphyria gene carriers from 31 families, and in 121 apparently healthy controls. Porphobilinogen deaminase concentration[…] [ncbi.nlm.nih.gov]

Pneumoperitoneum

JSLS. 2012 Jul-Sep; 16(3): 495–497. Nikolaos Symeonidis, MD, PhD, Konstantinos Ballas, MD, PhD, Efstathios Pavlidis, MD, Kyriakos Psarras, MD, PhD, Theodoros Pavlidis, MD, PhD, and Athanasios Sakantamis, MD, PhD This article has been cited by other articles in PMC. Abstract Introduction: Tension pneumoperitoneum is defined[…] [ncbi.nlm.nih.gov]

Mesenteric Cyst

Mesenteric cysts are rare intraabdominal lesions of childhood that may vary in presentation from an asymptomatic mass to an acute abdomen. We encountered a rare case of peritonitis caused by a ruptured, infected mesenteric cyst of the mesocolon in a female child that had been initially interpreted as a ruptured[…] [ncbi.nlm.nih.gov]

Hemoperitoneum

Surg Clin North Am. 2014 Feb;94(1):65-9. doi: 10.1016/j.suc.2013.10.006. Epub 2013 Oct 30. Author information 1 Section of Trauma & Acute Care Surgery, Boston Medical Center, Boston University School of Medicine, 840 Harrison Avenue, Dowling 2 South, #2414, Boston, MA 02118, USA. Electronic address: gkasot@bu.edu.[…] [ncbi.nlm.nih.gov]

Abdominal Muscle Strain

[…] by Steve Hole, MD 2012 Though he’s under a 2-year, 15 million contract with the World Series champion San Francisco Giants, Brian Wilson wears several hats: tattoo canvas, captivating interview star, and closer extraordinaire. The relief pitcher led the majors with 48 saves in 2010 and pitched his best in the biggest[…] [myhousecallmd.com]