Periumbilical Pain: Causes & Reasons

Possible Causes for Periumbilical Pain

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 The predominate symptom of appendicitis is abdominal pain originating at the navel (periumbilical pain) then shifting to the right lower abdomen. [innerbody.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]

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

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]

[…] 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]

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

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]

Meckel Diverticulum

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]

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

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

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]

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]

Evaluate pain. Crampy abdominal pain, an early sign, may be centered in the periumbilical area. [nurses.com]

Condition Presentation Diagnosis Management Appendicitis[14] Abdominal pain, nausea, vomiting, fever Periumbilical pain, migrates to RLQ Clinical (history & physical exam) [en.wikipedia.org]

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]

HISTORY AND PHYSICAL EXAMINATION Patients with pancreatitis commonly present with sudden onset of abdominal pain in the left upper quadrant, periumbilical region, and/or epigastrium [aafp.org]

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

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]

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]

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]

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]

Pneumoperitoneum

Appendicular perforations usually have a classical history of pain starting in the periumbilical area or right iliac fossa, along with vomiting and fever. [ncbi.nlm.nih.gov]

Patients with small bowel perforation may present with a prolonged history of fever followed by the appearance of pain in lower abdomen. [ncbi.nlm.nih.gov]

Hemoperitoneum

[…] or tenderness Abdominal deformity, abrasion, contusion Absent or decreased bowel sounds Hemorrhagic pancreatitis Diagnostic signs Cullen's sign: periumbilical bruising Grey [wikidoc.org]

[…] turner's sign: discoloration around the flanks Danforth sign: On inspiration there is shoulder pain Kehr's sign: left shoulder pain on supine or pressure applied to Left [wikidoc.org]

[…] extremities Dizziness or confusion Physical Examination On physical examination numerous signs ans symptoms can be appreciated: Hypotension, tachycardia, shock Abdominal pain [wikidoc.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]

Why does patient feel pain in periumbilical region? [slideshare.net]

Ventral Hernia

Presentation Abdominal pain, nausea and vomiting. Patient Data Age: 70 years Gender: Female Loading images... Axial C+ portal venous phase A loop of ileum containing oral contrast material is seen extending into an incisional ventral hernia. The bowel wall is mildly edematous with a narrow neck. Very little contrast[…] [radiopaedia.org]

Epigastric Hernia

Definition An Epigastric hernia is a protrusion normally seen noted between the xiphoid process (breast bone) and the umbilicus (navel) as a result of weakness or opening of the underlying muscles or tendons. Who commonly presents with it? Any person can present with an epigastric hernia but it is more common in[…] [manchestergeneralsurgery.co.uk]

Chronic Pancreatitis

Definition (NCI) A chronic inflammatory process causing damage and fibrosis of the pancreatic parenchyma. Signs and symptoms include abdominal pain, malabsorption and diabetes mellitus. Definition (MSH) INFLAMMATION of the PANCREAS that is characterized by recurring or persistent ABDOMINAL PAIN with or without[…] [fpnotebook.com]

Viral Gastroenteritis

Abstract A total of 921 fecal specimens collected from 44 infants in a day care center (DCC) in Tokyo, Japan during June 1999 to July 2000 were tested for the presence of rotavirus, norovirus, sapovirus, astrovirus and adenovirus by reverse-transcription-multiplex polymerase chain reaction (RT-multiplex PCR) and[…] [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

We report a rare case of a large mediastinal pancreatic pseudocyst compressing the left atrium and the esophagus and causing dyspnea, palpitations, and emesis. Chest radiograph was non-diagnostic, esophagogastroduodenoscopy showed diffuse extrinsic compression of the distal esophagus and gastric corpus, but a[…] [ncbi.nlm.nih.gov]

Acute Hepatic Porphyria

April 09, 2019; 92 (15 Supplement) May 7, 2019, Sean R. Rudnick, Madeline Merkel, John J. Ko, Barbara H. Johnson, Virginia Noxon, Ashley L. Cole, Sonalee Agarwal First published April 16, 2019, Abstract Objective: This study’s objective was to follow AHP/AIP patients’ healthcare journeys from first suspected symptom to[…] [n.neurology.org]

Acute Intermittent Porphyria

Acute intermittent porphyria is a hereditary disorder characterized by deficient activity of the enzyme porphobilinogen deaminase. It manifests with occasional neurovisceral crises due to overproduction of porphyrin precursors. We report a 12 year old male child with acute intermittent porphyria, who presented with[…] [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]

Abdominal Muscle Strain

An Abdominal Muscle Strain is any tear or rupture in the abdominal muscles, which include muscles in the abdomen and trunk. They can be either partial or full tears, depending on the severity of the injury. This injury is usually the result of excessive use of the abdominal muscles, lifting heavy objects, using[…] [lockeroomsports.com]