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Right Upper Quadrant Abdominal Pain

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1. A Curious Case of Right Upper Quadrant Abdominal Pain (PubMed)

A Curious Case of Right Upper Quadrant Abdominal Pain An otherwise healthy 36-year-old man presented with sudden-onset right upper quadrant abdominal pain and vomiting. A bedside ultrasound, performed to evaluate hepatobiliary pathology, revealed a normal gallbladder but free intraperitoneal fluid. After an expedited CT and emergent explorative laparotomy, the patient was diagnosed with a small bowel obstruction with ischemia secondary to midgut volvulus. Though midgut volvulus is rare

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2016 Western Journal of Emergency Medicine

2. Recurrent right upper quadrant abdominal pain. (PubMed)

Recurrent right upper quadrant abdominal pain. A minimally tender mass was detected during palpation of the abdomen, but a Murphy's test was negative. An abdominal x-ray revealed the cause of the patient's pain.

2016 Journal of Family Practice

3. Right Upper Quadrant Abdominal Pain

Right Upper Quadrant Abdominal Pain Right Upper Quadrant Abdominal Pain Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Right Upper (...) Quadrant Abdominal Pain Right Upper Quadrant Abdominal Pain Aka: Right Upper Quadrant Abdominal Pain , RUQ Abdominal Pain , RUQ Pain From Related Chapters II. Causes: Gastrointestinal or Billiary Tract Disease Hepatitis due to Peptic Ulcer Retrocecal III. Causes: Cardiopulmonary Empyema IV. Causes: Miscellaneous Renal pain V. Evaluation (e.g. , ) s Right Upper Quadrant Urinary symptoms (e.g. , ) Consider without contrast (stone protocol) Respiratory symptoms (e.g. , ) Consider helical chest CT VI

2018 FP Notebook

4. Diagnosis of Right Lower Quadrant Pain and Suspected Acute Appendicitis

Medical Center Harvard Medical School Boston, MA Daniel Dante Yeh, M.D. Massachusetts General Hospital Division of Trauma, Emergency Surgery and Surgical Critical Care Boston, MA vii Diagnosis of Right Lower Quadrant Pain and Suspected Acute Appendicitis Structured Abstract Background. The reliable identification of patients with abdominal pain who need surgical intervention for acute appendicitis can improve clinical outcomes and reduce resource use. The test performance and impact on outcomes (...) 34. Other adverse events 113 Table 35. Reported surgical complications of diagnostic laparoscopy 116 Table 36. Assessment of the strength of evidence for test performance and modifiers of test performance 122 Table 37. Evidence gaps for the diagnosis of right lower quadrant abdominal pain and suspected acute appendicitis 127 Figures Figure A. Analytic framework ES-5 Figure B. Flow chart of included studies ES-10 Figure 1. Analytic framework 7 Figure 2. Flow chart of included studies 16 Figure 3

2016 Effective Health Care Program (AHRQ)

5. An Unusual Cause of Right Upper Quadrant Pain: [Submission for “Clinical Challenges and Images in GI” section] (PubMed)

An Unusual Cause of Right Upper Quadrant Pain: [Submission for “Clinical Challenges and Images in GI” section] 28672120 2018 04 16 2018 11 13 1528-0012 153 2 2017 08 Gastroenterology Gastroenterology An Unusual Cause of Right Upper Quadrant Pain. e10-e11 S0016-5085(17)30037-9 10.1053/j.gastro.2016.12.042 Hafiz Nazar N Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill, North Carolina. Greene Kevin G KG Department of Pathology (...) , University of North Carolina School of Medicine, Chapel Hill, North Carolina. Crockett Seth D SD Division of Gastroenterology and Hepatology, University of North Carolina School of Medicine, Chapel Hill, North Carolina. eng KL2 RR025746 RR NCRR NIH HHS United States KL2 TR001109 TR NCATS NIH HHS United States Case Reports Journal Article Research Support, N.I.H., Extramural 2017 06 30 United States Gastroenterology 0374630 0016-5085 AIM IM Abdominal Pain diagnosis etiology Adult Appendectomy methods

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2017 Gastroenterology

6. Right Upper Quadrant Pain

subset of conditions. Please see the ACR Appropriateness Criteria ® topic on “Jaundice” [1] that pertains specifically to this clinical scenario. Acute cholecystitis is the most frequent complication of gallstone disease, a common entity [2], and may be life- threatening; therefore, timely diagnosis is essential for proper treatment. Although most patients with acute cholecystitis experience right upper quadrant abdominal pain, nausea, vomiting, anorexia, and fever [2], information derived only from (...) and recommendations for this document specifically relate to the adult nonpregnant patient. Discussion of Procedures by Variant Variant 1: Right upper quadrant pain. Suspected biliary disease. Initial imaging. US Abdomen Ultrasound (US) is the first choice of investigation for biliary symptoms or right upper quadrant abdominal pain. It is very accurate at diagnosing or excluding gallstones with reported accuracy of 96% for detection of gallstones [2], and may differentiate cholelithiasis from gallbladder sludge

2013 American College of Radiology

7. Coronary artery disease presenting with left upper quadrant pain in a patient with chronic cervical tetraplegia (PubMed)

radiating across the chest to the right upper limb with associated dyspnoea and diaphoresis. Prior to his emergency department admission, he had experienced progressive worsening of left upper quadrant pain and tenderness over several months. He was a non-smoker and swam regularly. He underwent coronary angiography and was found to have significant coronary artery disease. Drug-eluting stents were placed to critical coronary artery lesions followed by an uneventful hospital course with complete symptom (...) Coronary artery disease presenting with left upper quadrant pain in a patient with chronic cervical tetraplegia This single-subject case report aims to describe and discuss a case of a patient with established C5 tetraplegia with acute coronary syndrome presenting with left upper quadrant pain and tenderness.A 65-year-old male with chronic C5 American Spinal Injury Association Impairment Scale (AIS) A tetraplegia presented to the emergency department with severe left upper quadrant pain

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2017 Spinal cord series and cases

8. A rare presentation of acute appendicitis in right upper quadrant caused by renal agenesis (PubMed)

A rare presentation of acute appendicitis in right upper quadrant caused by renal agenesis Diagnosing acute abdominal pain will always be a challenging task, patients frequently present with atypical symptoms. It is crucial for a clinician to have good differential diagnosis to avoid delay in diagnosis and treatment. We present 37-year-old male who presented to emergency department with 2 days of abdominal pain. The pain started centrally around his umbilicus and localized to his right upper (...) quadrant (RUQ). Clinical examination showed he has localized peritonitism on the RUQ hence he was further investigated with CT abdomen. CT revealed he has appendicitis. This is due to the congenital anomaly where he has congenital agenesis of his right kidney. This case illustrates in patients with congenital agenesis of right kidney, the diagnosis of acute appendicitis should be considered in right upper quadrant pain. He was commenced on IV antibiotics and proceeded to have laparoscopic

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2018 Journal of surgical case reports

9. Left Upper Quadrant Abdominal Pain

Left Upper Quadrant Abdominal Pain Left Upper Quadrant Abdominal Pain Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Left Upper (...) Quadrant Abdominal Pain Left Upper Quadrant Abdominal Pain Aka: Left Upper Quadrant Abdominal Pain , LUQ Abdominal Pain , LUQ Pain From Related Chapters II. Causes: Gastrointestinal III. Causes: Miscellaneous Splenic enlargement, , splenic infarction, aneurysm Renal pain IV. Causes: Cardiopulmonary Empyema V. Imaging: Preferred Non-contrast Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Left Upper Quadrant Abdominal Pain." Click

2018 FP Notebook

10. Spigelian hernia in the right upper abdominal wall: a case report. (PubMed)

Spigelian hernia in the right upper abdominal wall: a case report. Spigelian hernia (SH) is rare and constitutes less than 2% of all hernias. It is reported that more than 90% of SHs lie in the "Spigelian belt", but SH in the upper abdominal wall is extremely uncommon. Here, we report a case of SH in the right upper quadrant of abdomen.A 38-year-old female was admitted to hospital with complaints of abdominal pain and right upper quadrant mass for 10 days. Contrast-enhanced computed tomography (...) (CECT) of abdomen revealed the dilated small intestine between the swelling ventral muscles in the right upper abdominal wall which suggested a ventral hernia. The surgeons considered it was a spontaneous hernia because there was no history of surgery or trauma in the upper abdomen. About two hours later, the patient underwent emergency surgery. According to laparotomy, a diagnosis of SH with ileum herniation in the right upper abdominal wall was confirmed. The necrotic ileum segment was resected

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2018 BMC Surgery

11. Spigelian hernia in the right upper abdominal wall: a case report (PubMed)

Spigelian hernia in the right upper abdominal wall: a case report Spigelian hernia (SH) is rare and constitutes less than 2% of all hernias. It is reported that more than 90% of SHs lie in the "Spigelian belt", but SH in the upper abdominal wall is extremely uncommon. Here, we report a case of SH in the right upper quadrant of abdomen.A 38-year-old female was admitted to hospital with complaints of abdominal pain and right upper quadrant mass for 10 days. Contrast-enhanced computed tomography (...) (CECT) of abdomen revealed the dilated small intestine between the swelling ventral muscles in the right upper abdominal wall which suggested a ventral hernia. The surgeons considered it was a spontaneous hernia because there was no history of surgery or trauma in the upper abdomen. About two hours later, the patient underwent emergency surgery. According to laparotomy, a diagnosis of SH with ileum herniation in the right upper abdominal wall was confirmed. The necrotic ileum segment was resected

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2018 BMC Surgery

12. Left Upper-Quadrant Appendicitis in a Patient with Congenital Intestinal Malrotation and Polysplenia (PubMed)

Left Upper-Quadrant Appendicitis in a Patient with Congenital Intestinal Malrotation and Polysplenia BACKGROUND Appendicitis is the most common cause of abdominal pain requiring emergent surgical intervention. Although typically presenting as right lower-quadrant pain, in rare cases it may present as left upper-quadrant pain secondary to abnormal position due to intestinal malrotation. Since atypical presentations may result in diagnostic and management delay, increasing morbidity and mortality (...) , accurate and prompt diagnosis is important. Therefore, acute appendicitis should be considered in the differential diagnosis of left upper-quadrant abdominal pain. In this setting, medical imaging plays a key role in diagnosis. We report a case of a 13-year-old female with undiagnosed intestinal malrotation presenting with left-sided acute appendicitis. CASE REPORT A 13-year-old Hispanic female presented at the emergency room with anorexia and left upper-quadrant abdominal pain with involuntary

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2018 The American journal of case reports

13. Acute Nonlocalized Abdominal Pain

of the ACR Appropriateness Criteria through society representation on expert panels. Participation by representatives from collaborating societies on the expert panel does not necessarily imply individual or society endorsement of the final document. Reprint requests to: publications@acr.org ACR Appropriateness Criteria ® 4 Acute Nonlocalized Abdominal Pain in patients with more localized signs or symptoms, including the ACR Appropriateness Criteria ® topic on “Right Upper Quadrant Pain” [9], the ACR (...) with or without fever. Cholescintigraphy may have a role if there is specific concern regarding gallbladder or other hepatobiliary disease. Refer to the ACR Appropriateness Criteria ® topic on “Right Upper Quadrant Pain” for further discussion [9]. Summary of Recommendations ? Variant 1: In the setting of nonlocalized abdominal pain and fever, CT of the abdomen and pelvis with IV contrast is usually appropriate to evaluate for abdominal abscesses and a broad range of additional pathologies. ? Variant 2

2018 American College of Radiology

14. Right Upper Quadrant Abdominal Pain

Right Upper Quadrant Abdominal Pain Right Upper Quadrant Abdominal Pain Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Right Upper (...) Quadrant Abdominal Pain Right Upper Quadrant Abdominal Pain Aka: Right Upper Quadrant Abdominal Pain , RUQ Abdominal Pain , RUQ Pain From Related Chapters II. Causes: Gastrointestinal or Billiary Tract Disease Hepatitis due to Peptic Ulcer Retrocecal III. Causes: Cardiopulmonary Empyema IV. Causes: Miscellaneous Renal pain V. Evaluation (e.g. , ) s Right Upper Quadrant Urinary symptoms (e.g. , ) Consider without contrast (stone protocol) Respiratory symptoms (e.g. , ) Consider helical chest CT VI

2015 FP Notebook

15. Restrictive strategy versus usual care for cholecystectomy in patients with gallstones and abdominal pain (SECURE): a multicentre, randomised, parallel-arm, non-inferiority trial. (PubMed)

for cholecystectomy. For the restrictive strategy, cholecystectomy was advised for patients who fulfilled all five pre-specified criteria of the triage instrument: 1) severe pain attacks, 2) pain lasting 15-30 min or longer, 3) pain located in epigastrium or right upper quadrant, 4) pain radiating to the back, and 5) a positive pain response to simple analgesics. Randomisation was done with an online program, implemented into a web-based application using blocks of variable sizes, and stratified for centre (...) Restrictive strategy versus usual care for cholecystectomy in patients with gallstones and abdominal pain (SECURE): a multicentre, randomised, parallel-arm, non-inferiority trial. International guidelines advise laparoscopic cholecystectomy to treat symptomatic, uncomplicated gallstones. Usual care regarding cholecystectomy is associated with practice variation and persistent post-cholecystectomy pain in 10-41% of patients. We aimed to compare the non-inferiority of a restrictive strategy

2019 Lancet Controlled trial quality: predicted high

16. Lavage and Suction of the Right Upper Quadrant to Reduce Post Laparoscopic Shoulder Pain

Lavage and Suction of the Right Upper Quadrant to Reduce Post Laparoscopic Shoulder Pain Lavage and Suction of the Right Upper Quadrant to Reduce Post Laparoscopic Shoulder Pain - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies (...) before adding more. Lavage and Suction of the Right Upper Quadrant to Reduce Post Laparoscopic Shoulder Pain The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02004470 Recruitment Status : Unknown Verified January 2014 by University of Tennessee. Recruitment status was: Not yet recruiting First Posted

2013 Clinical Trials

17. Left Upper Quadrant Abdominal Pain

Left Upper Quadrant Abdominal Pain Left Upper Quadrant Abdominal Pain Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Left Upper (...) Quadrant Abdominal Pain Left Upper Quadrant Abdominal Pain Aka: Left Upper Quadrant Abdominal Pain , LUQ Abdominal Pain , LUQ Pain From Related Chapters II. Causes: Gastrointestinal III. Causes: Miscellaneous Splenic enlargement, , splenic infarction, aneurysm Renal pain IV. Causes: Cardiopulmonary Empyema V. Imaging: Preferred Non-contrast Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Left Upper Quadrant Abdominal Pain." Click

2015 FP Notebook

18. Ingested Foreign Body Migration to the Liver: An Unusual Cause of Persistent Abdominal Pain in a 54-Year-Old Female (PubMed)

Ingested Foreign Body Migration to the Liver: An Unusual Cause of Persistent Abdominal Pain in a 54-Year-Old Female Abdominal pain is a common presentation in emergency medicine. We describe the case of a 54-year-old female who presented to the emergency department due to worsening abdominal pain. She had a history of right upper quadrant (RUQ) abdominal pain that had been ongoing for several months. The pain had been thought by the primary care team to be related to gastritis and she had been (...) prescribed a proton pump inhibitor (PPI). Her abdominal pain increased in the three days prior to her presentation to the emergency department (ED). The computed tomography (CT) scan of the abdomen showed a foreign body (FB) in the liver which was successfully removed surgically. Pathology results showed that the FB was consistent with a small bone fragment. Ingestions of FB are common but seldom result in complications. When complications do arise, perforation of a hollow viscous is typically seen

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2018 Case Reports in Emergency Medicine

19. Acute-onset abdominal pain in a woman in her 30s. (PubMed)

Acute-onset abdominal pain in a woman in her 30s. A woman in her 30s presented to the emergency department with sudden-onset abdominal pain with hypotension and tachycardia. She gave a history of congenital heart disease for which she had previously undergone multiple operations. On examination she demonstrated right upper quadrant tenderness. She underwent an urgent multiphase CT (figure 1A-C).heartjnl;heartjnl-2018-313691v1/F1F1F1Figure 1(A) Arterial phase coronal CT. (B) Arterial phase axial (...) CT. (C) Portal venous phase axial CT.What is the underlying liver pathology?Hepatocellular adenomaCholangiocarcinomaHepatocellular carcinomaFocal nodular hyperplasiaHepatoblastoma.© Author(s) (or their employer(s)) 2018. No commercial re-use. See rights and permissions. Published by BMJ.

2018 Heart

20. Acute Appendicitis Presenting as Unusual Left Upper Quadrant Pain (PubMed)

Acute Appendicitis Presenting as Unusual Left Upper Quadrant Pain Appendicitis is the most common abdominal disease that requires surgery in the emergency ward. It usually presents as right lower quadrant pain, but may rarely present as left upper quadrant (LUQ) pain due to congenital anatomical abnormalities of the intestine. We report a patient who complained of persistent LUQ abdominal pain and was finally diagnosed by computed tomography (CT) as congenital intestinal malrotation complicated (...) with acute appendicitis. It is important to include acute appendicitis in the differential diagnosis of patients who complain of LUQ abdominal pain. Abdominal CT can provide significant information that is useful in preoperative diagnosis and determination of proper treatment.

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2013 Iranian Journal of Radiology

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