Periumbilical Pain: Causes & Reasons

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Possible Causes for Periumbilical Pain

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]

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]

His abdominal pain evolved to a periumbilical “jabbing” pain exacerbated by movement and palpation. [acgcasereports.gi.org]

In the evening on the same day, he complained of acute and persistent periumbilical pain without abdominal distension. [e-jnc.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]

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

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]

Diverticulitis [ edit ] Inflammation of the diverticulum can mimic symptoms of appendicitis, i.e., periumbilical tenderness and intermittent crampy abdominal pain. [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]

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]

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

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]

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]

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]

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 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]

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]

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]

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]

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]

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]

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]

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]

Epigastric Hernia

An epigastric hernia develops on the linea alba, between the xiphoid process and the umbilicus. It is much more commonly seen in males. The diagnosis is most often made between 30-50 years and causes may be either congenital or acquired. Symptoms, when present, include abdominal pain, tenderness and a prominent[…] [symptoma.com]

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]

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]

Intestinal Perforation

Spontaneous intestinal perforation has been shown to be a significant morbidity in the extremely low birthweight neonate. Occult spontaneous intestinal perforation (SIP), without pneumoperitoneum on abdominal radiograph, typically occurs in neonates > 2 weeks of age and is usually diagnosed by visualization of[…] [ncbi.nlm.nih.gov]

Pancreatic Pseudocyst

Autoimmune pancreatitis (AIP) is a special type of chronic pancreatitis, which is rarely associated with pseudocyst. A 48-year-old man complained of a recurrent upper abdominal pain in our hospital. A cystic mass of size 4 × 3 cm in his pancreatic tail was found by computed tomography. The concentrations of serum[…] [ncbi.nlm.nih.gov]

Acute Hepatic Porphyria

No-charge genetic testing for acute hepatic porphyria Alnylam has partnered with Invitae to offer genetic testing at no charge for individuals who may carry a gene mutation known to be associated with acute hepatic porphyria (AHP). On average, it takes up to 15 years from symptom onset for a patient to receive[…] [invitae.com]

Acute Intermittent Porphyria

Acute intermittent porphyria Other names Swedish porphyria, pyrroloporphyria, intermittent acute porphyria Porphobilinogen Specialty Medical genetics Acute intermittent porphyria (AIP) is a rare autosomal dominant metabolic disorder affecting the production of heme resulting from a deficiency of the porphobilinogen[…] [en.wikipedia.org]

Pneumoperitoneum

Pneumoperitoneum is pneumatosis (abnormal presence of air or other gas) in the peritoneal cavity, a potential space within the abdominal cavity. The most common cause is a perforated abdominal viscus, generally a perforated peptic ulcer, although any part of the bowel may perforate from a benign ulcer, tumor or[…] [en.wikipedia.org]

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[…] [myhousecallmd.com]

Delta Aminolevulinate Dehydrase Deficiency

Gut. 1994 Aug;35(8):1112-5. Author information 1 University Department of Medicine and Therapeutics, Western Infirmary, Glasgow. Abstract Patients with acute hepatic porphyria are denied essential operations because of concern that general anaesthesia and surgery will precipitate a life threatening porphyric crisis.[…] [ncbi.nlm.nih.gov]